Carotid-Cavernous Fistula: Clinical Manifestation and Management

Keywords: Cartoid-cavernous sinus fistula, Carotid artery, Cavernous sinus, Endovascular

Abstract

Carotid-cavernous fistula (CCF) is a vascular abnormality that occurs between the internal or external carotid artery and veins within the cavernous sinus. CCFs can be classified as direct (Barrow type A) or indirect CCFs (Barrow types B, C, and D). The causes of direct CCFs are trauma and vascular rupture, whereas indirect CCFs are commonly found in patients with hypertension, connective tissue disorders, pregnancy, and dissection of the internal carotid artery. Signs and symptoms of CCF vary widely, ranging from acute-onset headache, proptosis, diplopia, ophthalmoplegia, conjunctival chemosis, orbital bruit, and blindness, but it can solely manifest as conjunctival redness. Patients with suspected CCF should undergo neuroradiology imaging, followed by endovascular intervention to close the fistula and keep the carotid artery open. With appropriate treatment, complete resolution is expected to occur in all patients.

Downloads

Download data is not yet available.

Author Biographies

Bambang Tri Prasetyo, Neurosurgery Departement, National Brain Centre Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia

Faculty of Medicine Airlangga University, Surabaya, Indonesia

 

Ricky Gusanto Kurniawan, Neurosurgery Departement, National Brain Centre Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia

Faculty of Medicine Airlangga University, Surabaya, Indonesia

Beny Rilianto, Neurosurgery Departement, National Brain Centre Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia

Faculty of Medicine Airlangga University, Surabaya, Indonesia

 

Abrar Arham, Neurosurgery Departement, National Brain Centre Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia

Faculty of Medicine Airlangga University, Surabaya, Indonesia

Published
2023-06-09
How to Cite
Putri, N. D., Prasetyo, B. T., Kurniawan, R. G., Rilianto, B., Windiani, P. R., & Arham, A. (2023). Carotid-Cavernous Fistula: Clinical Manifestation and Management. Journal Of The Indonesian Medical Association, 73(2), 102 - 107. https://doi.org/10.47830/jinma-vol.73.2-2023-880
Viewer: 384 times
PDF (Bahasa Indonesia) downloaded: 1006 times