Article Text

Download PDFPDF
Transfacial venous embolisation of a spontaneous indirect paediatric caroticocavernous fistula
  1. Saikanth Reddy Deepalam,
  2. Shreyas Reddy Kankara,
  3. Clyde Richard Menezes and
  4. Sharath Kumar Goddu Govindappa
  1. Radiodiagnosis, St John's National Academy of Health Sciences, Bangalore, Karnataka, India
  1. Correspondence to Dr Shreyas Reddy Kankara; drshreyasreddy111295{at}


We present a rare case of a spontaneous indirect caroticocavernous fistula (CCF) in an early adolescent, who exhibited a 1-month history of redness, decrease in vision and proptosis of the right eye without a history of trauma or connective tissue disorder. An MRI of the brain and orbit and a digital subtraction angiography confirmed the diagnosis of Barrow type D CCF. The same was then treated with coiling and a liquid embolising agent using the transfacial venous route, resulting in complete obliteration. Reduction in conjunctival congestion with mild improvement in visual acuity was noted postprocedure. Complete recovery was noted at the 6-month follow-up visit. CCF, though rare in the paediatric population, should be highly considered in the differential diagnosis when the above-mentioned complaints are present. Early diagnosis and intervention have favourable outcomes.

  • Radiology
  • Interventional radiology
  • Vascular surgery
  • Ophthalmology

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Twitter @Shreyas51341633

  • Contributors SRD: concept, design, study supervision, review of literature and review of final manuscript. SRK: data acquisition, informed consent, review of literature, preparation of manuscript, and submission of manuscript. CRM: review of literature, study supervision, review of final manuscript. SKGG: study supervision, review of literature, and review of final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.