Direct, spontaneous carotid‑cavernous fistula with a contracted kidney: A rare association.
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Date
2016-04
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Abstract
We report a case of a 20‑year‑old female having systemic
hypertension who presented with right‑sided proptosis,
chemosis, and diminished vision, preceded by an acute
episode of unilateral throbbing headache. Imaging studies
revealed a right‑sided direct, spontaneous carotid‑cavernous
fistula (CCF), aneurysm of internal carotid artery, bleed in
the parieto‑frontal lobe, and swelling of extraocular muscles.
Abdominal ultrasound revealed a small contracted right
kidney measuring 64 mm × 27 mm. A direct spontaneous CCF
can occur spontaneously following rupture of intracranial
aneurysm without any history of trauma or connective tissue
disorder. Prompt diagnosis of intravascular malformations at
initial presentation can prevent neurological complications and
vision loss. A team approach including emergency physicians,
neurosurgeons, and ophthalmologists is needed for the proper
management of such patients.
Description
Keywords
Carotid‑cavernous fistula, contracted kidney, intracerebral bleed, intracranial aneurysm, systemic hypertension, unilateral proptosis
Citation
Kumari Namita, Amitava Abadan Khan, Akram Sardar Mohammed, Grover Shivani. Direct, spontaneous carotid‑cavernous fistula with a contracted kidney: A rare association. Indian Journal of Ophthalmology. 2016 Apr; 64(4): 323-325.