J Korean Neurosurg Soc.  2011 Apr;49(4):229-230. 10.3340/jkns.2011.49.4.229.

Bilateral Visual Loss as a Sole Manifestation Complicating Carotid Cavernous Fistula

Affiliations
  • 1Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, Korea.
  • 2Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University and Graduate School of Gangwon University, Chuncheon, Korea. storynlemon@gmail.com

Abstract

Visual loss is one of the ocular symptoms resulting from a carotid cavernous fistula (CCF), but has rarely been reported as the sole manifestation in CCF. Visual impairment is known to be associated with a poor outcome unless timely intervention is employed. Herein, the authors report a patient with bilateral rapid progressing visual loss as a sole manifestation in CCF. Vision was successfully restored by transarterial embolization. The authors discuss the necessity of urgent fistula obliteration in patients with visual loss.

Keyword

Carotid cavernous fistula; Endovascular

MeSH Terms

Caves
Fistula
Humans
Vision Disorders
Vision, Ocular
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