Bilateral indirect carotid cavernous fistula post trivial injury- A case report

Fifty-seven years old Malay lady, post menopausal with co-morbid of diabetes mellitus and hypertension presented with three months history of bilateral painful red eyes associated with double vision. Examination revealed both eyes proptosis, corkscrew vessels with present of bruit, secondary narrow...

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Main Authors: Mat Abu, Siti Hajar, Hashim, Hanizasurana, George, Tara Mary, Ngah, Norfariza, Hussein, Adil
Format: Article
Published: Elsevier 2013
Subjects:
Online Access:http://eprints.usm.my/38393/
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author Mat Abu, Siti Hajar
Hashim, Hanizasurana
George, Tara Mary
Ngah, Norfariza
Hussein, Adil
author_facet Mat Abu, Siti Hajar
Hashim, Hanizasurana
George, Tara Mary
Ngah, Norfariza
Hussein, Adil
author_sort Mat Abu, Siti Hajar
building USM Institutional Repository
collection Online Access
description Fifty-seven years old Malay lady, post menopausal with co-morbid of diabetes mellitus and hypertension presented with three months history of bilateral painful red eyes associated with double vision. Examination revealed both eyes proptosis, corkscrew vessels with present of bruit, secondary narrow angle with raised intraocular pressure, 6th cranial nerve palsy, and bilateral venous stasis retinopathy. CT angiogram showed bilateral dilated superior ophthalmic veins with cerebral angiogram findings of bilateral indirect carotid cavernous fistula involving small meningeal vessels. Indirect or dural cavernous sinus Fistula can easily be missed or misdiagnosed. Trivial injury especially in the predisposing patient can initiate the occurrence.
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institution Universiti Sains Malaysia
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spelling usm-383932018-01-16T08:01:51Z http://eprints.usm.my/38393/ Bilateral indirect carotid cavernous fistula post trivial injury- A case report Mat Abu, Siti Hajar Hashim, Hanizasurana George, Tara Mary Ngah, Norfariza Hussein, Adil RE Ophthalmology Fifty-seven years old Malay lady, post menopausal with co-morbid of diabetes mellitus and hypertension presented with three months history of bilateral painful red eyes associated with double vision. Examination revealed both eyes proptosis, corkscrew vessels with present of bruit, secondary narrow angle with raised intraocular pressure, 6th cranial nerve palsy, and bilateral venous stasis retinopathy. CT angiogram showed bilateral dilated superior ophthalmic veins with cerebral angiogram findings of bilateral indirect carotid cavernous fistula involving small meningeal vessels. Indirect or dural cavernous sinus Fistula can easily be missed or misdiagnosed. Trivial injury especially in the predisposing patient can initiate the occurrence. Elsevier 2013 Article PeerReviewed Mat Abu, Siti Hajar and Hashim, Hanizasurana and George, Tara Mary and Ngah, Norfariza and Hussein, Adil (2013) Bilateral indirect carotid cavernous fistula post trivial injury- A case report. Journal of Acute Disease, 2 (1). pp. 66-69. ISSN 2221-6189 https://doi.org/10.1016/S2221-6189(13)60099-2
spellingShingle RE Ophthalmology
Mat Abu, Siti Hajar
Hashim, Hanizasurana
George, Tara Mary
Ngah, Norfariza
Hussein, Adil
Bilateral indirect carotid cavernous fistula post trivial injury- A case report
title Bilateral indirect carotid cavernous fistula post trivial injury- A case report
title_full Bilateral indirect carotid cavernous fistula post trivial injury- A case report
title_fullStr Bilateral indirect carotid cavernous fistula post trivial injury- A case report
title_full_unstemmed Bilateral indirect carotid cavernous fistula post trivial injury- A case report
title_short Bilateral indirect carotid cavernous fistula post trivial injury- A case report
title_sort bilateral indirect carotid cavernous fistula post trivial injury- a case report
topic RE Ophthalmology
url http://eprints.usm.my/38393/
http://eprints.usm.my/38393/