Imaging Findings with 3D CT Angiographic Reconstruction of Carotico-cavernous Fistula-A Case Report

• Main Authors: Shivu Jayadev, Karthik Adiraju, Bhushita Lakhkar, Parth Vaishnav
• Format: Article
• Language: English
• Published: JCDR Research and Publications Pvt. Ltd. 2018-07-01
• Series: International Journal of Anatomy Radiology and Surgery
• Subjects: cavernous sinus; dilated ophthalmic veins; diplopia internal carotid artery; imaging of ccf
• Online Access: http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=July&volume=7&issue=3&page=RC07-RC10&id=2405

Carotico Cavernous Fistula (CCF) is an abnormal communication between the carotid arteries and the cavernous sinus. They are divided into direct or indirect types based on the etiology. Direct CCFs present with acute and rapid onset of symptoms, are often secondary to trauma most commonly seen in the head injuries and young male patients. Indirect CCFs have insidious onset with predilection for the postmenopausal female patients. We report a case of 30 years old male with history of trauma four months back, presented with inability to move right eye laterally and diplopia since two months, contrast enhanced CT brain showed findings suggestive of CCF. Rare incidence with gradual onset of CCF post trauma and 3D CT reconstruction imaging makes this case unique.