Open AccessClinical spectrum of spontaneous carotid-cavernous fistula
Author(s) -
Jayanta Das,
Jnanankar Medhi,
Pankaj Bhattacharya,
Nilutpol Borah,
Kasturi Bhattacharjee,
Ganesh Chandra Kuri,
Hemlata Deka,
Biraj Jyoti Goswami
Publication year - 2007
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.33051
Subject(s) - medicine , cavernous sinus , fistula , carotid cavernous fistula , disease , carotid arteries , carotid cavernous sinus fistula , cardiology , surgery
A carotid-cavernous fistula (CCF) is an abnormal communication between the cavernous sinus and the carotid arterial system. A CCF is divided into two categories, direct and indirect. Direct fistulas usually account for 70 to 90% of all CCF. Spontaneous, low-flow fistulas are usually associated with atherosclerosis, hypertension and collagen vascular disease or may develop in females during peripartum period. The elderly age group, especially women are at increased risk. We report three cases of spontaneous CCF presenting with ocular manifestations and hypertension, without any collagen vascular disease. One case was a direct variety and the other two were of indirect variety.