Keywords
istula
proptosis
ophthalmoplegia
pulsating exophthalmos
endovascular treatment
How to Cite
Abstract
Carotid-cavernous fistulas (CCF) are vascular communications between the carotid arteries and the cerebral venous drainage system; mainly the cavernous sinus. Despite being one of the first intracerebral vascular injuries ever described, its rarity makes it difficult to carry out large studies to standardize its approach and management. The purpose of this case report is to describe a CCF diagnosed at Hospital Mexico at the Caja Costarricense de Seguro Social (CCSS) in San José, Costa Rica, and make a contribution to the medical community
The case of a 17 year old male victim of multiple trauma is reported, along with his symptoms, the diagnostic approach, and therapeutic intervention. At the same time, a review of the subject sheds light to the uniqueness of this pathology, and it is concluded that it is of utmost importance to suspect this diagnosis and approach it promptly in order to reduce morbidity.
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