Spontaneous Resolution of Carotid-Cavernous Fistula Following Angiogram

Jogimahanti, Arjun V; Raviskanthan, Subahari; Mortensen, Peter W; Klucznik, Richard P.; Lee, Andrew G

doi:10.1097/wno.0000000000001531

Cited by 1 publication

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“…This might be due to thrombosis of the venous drainage and/or the cavernous sinus or due to spontaneous healing of an arterial injury or catheter manipulation during the angiogram. We presume some similar mechanism in our patient led to gradual closure of the fistula and resolution of proptosis 5–7. This was confirmed by cerebral angiography done 3 months later, which revealed complete closure of the fistula.…”

Section: Discussionsupporting

confidence: 77%

Neovascular glaucoma with combined retinal vascular occlusion in carotid cavernous fistula

et al. 2023

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Carotid cavernous fistulas (CCFs) can present with varied ophthalmic manifestations. The most important vision-threatening complications of CCF include glaucoma and retinal vascular occlusions. We report a case of a man in his early 30s who developed a post-traumatic direct CCF. The patient denied undergoing embolisation therapy. This resulted in aggravation of his condition with onset of combined retinal venous and artery occlusion leading to neovascular glaucoma and severe vision loss. He was treated with medical management followed by diode laser photocoagulation to control intraocular pressure. Diagnostic cerebral angiography done 3 months later showed complete closure of the fistula; hence, no further intervention was advocated. Combined vascular occlusion is a rare vision-threatening occurrence in cases of CCF. Timely intervention with closure of the fistula can prevent the development of vision-threatening complications.

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Section: Discussionsupporting

confidence: 77%