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Bilateral Carotid-Cavernous Fistula Following Traumatic Fall: A Case Report Cover

Bilateral Carotid-Cavernous Fistula Following Traumatic Fall: A Case Report

Open Access
|Sep 2024

Figures & Tables

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Figure 1

Axial CT scan showing a bifocal mandibular fracture with displacement.

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Figure 2

3D CT reconstruction showing a bifocal mandibular fracture with displacement.

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Figure 3

Axial CT scan (bone window) showing a non-displaced fracture of the left anterior arch of the C1 vertebra.

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Figure 4

CT angiography showing early opacification of the cavernous sinuses.

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Figure 5

CT angiography showing dilatation of the superior ophthalmic veins.

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Figure 6

CT angiography showing sequelae of dissection in the cervical portion of the bilateral internal carotid arteries, with an intimal flap indicated by an arrow.

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Figure 7

MR angiography showing dilatation of the superior ophthalmic veins.

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Figure 8

MR angiography showing a fistula between the cavernous sinus and the cavernous portion of the carotid artery.

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Figure 9

Axial T2 and post-contrast T1 weighted images showing dilatation of the leptomeningeal veins in the left cerebellar hemisphere, indicating abnormal venous drainage.

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Figure 10

FLAIR and post-contrast T1 weighted images showing a hemorrhagic lesion in the right anterior pontine region, with surrounding edema and contrast enhancement, indicative of venous infarction.

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Figure 11

Pre-treatment Digital Subtraction Angiography (DSA) showing bilateral carotid-cavernous fistulas (CCFs), followed by post-treatment images demonstrating successful occlusion of the CCF.

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Figure 12

MR Angiography showing the presence of a residual fistula following treatment.

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Figure 13

MRI images showing regression of edema in the right pontine region and persistent dilation of the cerebellar veins, indicating partial resolution of the condition.

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Figure 14

Digital Subtraction Angiography showing complete obliteration of the carotid-cavernous fistula (CCF), indicating successful treatment.

DOI: https://doi.org/10.5334/jbsr.3696 | Journal eISSN: 2514-8281
Language: English
Submitted on: Jul 12, 2024
Accepted on: Aug 27, 2024
Published on: Sep 17, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Fatim Camara, Chiara Mabiglia, Thomas Bonnet, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.