Bilateral carotid cavernous fistula after trauma:a case report and literature review

作     者：Jingshan Liang Xiaoxiao Xie Yong Sun Xiuli Wei Aimin Li Jingshan Liang;Xiaoxiao Xie;Yong Sun;Xiuli Wei;Aimin Li

作者机构：Department of NeurosurgeryThe Affiliated Lianyungang Hospital of Xuzhou Medical University/The First People’s Hospital of LianyungangNo.182Tongguan RoadLianyungang 222000JiangsuChina Department of NeurointerventionThe Affiliated Lianyungang Hospital of Xuzhou Medical University/The First People’s Hospital of LianyungangLianyungangJiangsuChina Department of Internal NursingLianyungang Higher Vocational Technical School of Chinese MedicineLianyungangChina 

出 版 物：《Chinese Neurosurgical Journal》 (中华神经外科杂志（英文）)

年 卷 期：2021年第7卷第4期

页      面：300-305页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

基　　金：supported by the Postdoctoral Program in Jiangsu Province(to Jingshan Liang grant number:SBSH01). 

主　　题：Carotid cavernous fistula Bilateral Trauma Endovascular embolization 

摘      要：Background:Carotid cavernous fistula is a rare complication that is typically associated with head trauma and skull base fractures.The traumatic bilateral carotid cavernous fistula are significantly rarer.Case presentations:We report a case of a 61-year-old man presenting with unilateral exophthalmos,swollen eyelids,conjunctival congestion,and edema etiologically associated with severe trauma.Thereafter,the patient demonstrated symptoms of contralateral oculomotor nerve injury caused by skull base fracture,such as ptosis of eyelid,dilated pupils,and eye movement disorder,and was diagnosed with bilateral carotid cavernous fistula.Conclusions:The patient recovered after undergoing endovascular embolization of bilateral cavernous sinus fistulas.The patient demonstrated the classic symptoms of an extremely rare condition known as bilateral carotid cavernous fistula,in only one eye.Reporting and analyzing this case will help us elucidate the underlying mechanisms of this disease.