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VOL. 6, ISSUE 2 (2024)
A rare case of caroticocavernous fistula
Authors
Sushma A Hegganadoddi, Shantkumar S, Gowtham Gowda A G, Aishwarya K C, Meghavardhan Guptha M N
Abstract
Carotico cavernous fistulae (CCF) are rare, abnormal arteriovenous
fistulae (AVF) connecting the carotid arterial system and cavernous sinus (CS) [1,
2]. The increase in cavernous sinus pressure resulting from this is the
main reason for the clinical features and complications of this entity [3].
The classic triad of Dandy includes chemosis, pulsatile proptosis and ocular
bruit. Imaging plays a key role in the diagnosis of a CCF. Use of multimodality
approach including orbital doppler, CT, MRI with respective angiography
techniques help in the diagnosis. However, digital subtraction angiography
(DSA) is the gold standard investigation for diagnosis of CCF as it can
identify fistula angioarchitecture whilst allowing simultaneous planning and
intervention. Transarterial or transvenous embolization of the fistula by
endovascular intervention is the first line treatment modality for the
treatment of most CCFs.
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Pages:1-4
How to cite this article:
Sushma A Hegganadoddi, Shantkumar S, Gowtham Gowda A G, Aishwarya K C, Meghavardhan Guptha M N "A rare case of caroticocavernous fistula". International Journal of Radiology Research, Vol 6, Issue 2, 2024, Pages 1-4
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