| Sudden onset and blinding spontaneous direct carotid-cavernous fistula. | |
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MedLine Citation:
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PMID: 22454707 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: To report a case of spontaneous direct carotid-cavernous fistula causing abrupt loss of vision. CASE REPORT: A 50-year-old woman with systemic hypertension but no history of ocular disease developed sudden proptosis, frozen eye, subconjunctival hemorrhage and loss of vision in her left eye over 2 hours. Imaging studies revealed a direct carotid-cavernous fistula. Management for high intraocular pressure was promptly initiated and the patient was referred to a neurosurgery service, but she refused any surgical intervention. Ultimately, she accepted to undergo manual carotid artery compression which resulted in significant reduction in the proptosis, but she lost all vision permanently. CONCLUSION: Direct carotid-cavernous fistula can occur spontaneously and should be taken into account in patients with signs suggestive of direct carotid-cavernous sinus fistula even without history of trauma or connective tissue disorder. |
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Authors:
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Mohammad-Reza Razeghinejad; Mansooreh Jamshidian Tehrani |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of ophthalmic & vision research Volume: 6 ISSN: 2008-322X ISO Abbreviation: J Ophthalmic Vis Res Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2012-03-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101497643 Medline TA: J Ophthalmic Vis Res Country: Iran |
Other Details:
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Languages: eng Pagination: 50-3 Citation Subset: - |
Affiliation:
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Ophthalmology Department and Poostchi Eye Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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