J Korean Ophthalmol Soc.  1996 Sep;37(9):1544-1549.

A Case of Dural Carotid-Cavernous Sinus Fistula Associated with Ophthalmic Manifestations

• Lee HJ
• Lee HY
• Kim SD

Abstract

Dural carotid-cavernous sinus fistula is an abnormal communication between meningeal branches of the carotid artery and cavernous sinus. It usually occurs spontaneously, and 25 to 50% of fistula close spontaneously. Most cases are unilateral and rarely, contralateral or bilateral symptoms occur. Most of the patients are postmenopausal women, and show dilated conjunctival and episcleral vessels, exophthalmos, limited ocular movement and elevation of intraocular pressure. We report a case of dural carotid-cavernous sinus fistula in a 53 year old woman with typical ophthalmic manifestations.

Keyword

Dural carotid-cavernous sinus fistula

MeSH Terms

Carotid Arteries
Carotid-Cavernous Sinus Fistula*
Cavernous Sinus
Exophthalmos
Female
Fistula
Humans
Intraocular Pressure
Middle Aged