J Korean Bal Soc.
2006 Dec;5(2):307-310.
A Case of Carotid Cavernous Fistula Presenting with "Delayed Red-Eyed Shunts"
- Affiliations
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- 1Department of Neurology, College of Medicine, Soonchunhyang University, Bucheon, Korea. sungkb@schbc.ac.kr
- 2Department of Radiology, College of Medicine, Soonchunhyang University, Bucheon, Korea.
Abstract
- Presenting symptoms of carotid cavernous fistulas (CCF) may vary according to the draining vessels. Prominent external orbito-ocular signs such as red eye, proptosis, ocular bruit occur, when the shunt drains anteriorly ("red-eyed shunts"), whereas an isolated ocular motor nerve palsy and headache can be the only presenting symptoms when it drains posteriorly ("white-eyed shunts"). Turning the eyes red from white eyed-shunt weeks to months ("delayed red-eyed shunts") suggest the direction of fistula drainage shifted anteriorly; it has rarely been reported. We report a patient with delayed red-eyed shunts whose red eye resolved after chemical embolization of draining vessels.
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