PT  - JOURNAL ARTICLE
AU  - Nirupama Kasturi
AU  - Pooja Kumari
AU  - Gayatri Nagarajan
AU  - Nagarajan Krishnan
TI  - Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis
AID  - 10.1136/bcr-2018-227757
DP  - 2019 Mar 01
TA  - BMJ Case Reports
PG  - e227757
VI  - 12
IP  - 3
4099  - http://casereports.bmj.com/content/12/3/e227757.short
4100  - http://casereports.bmj.com/content/12/3/e227757.full
SO  - BMJ Case Reports2019 Mar 01; 12
AB  - A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3 days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. A subtle bruit was present on examination, and digital subtraction angiography revealed a right direct (type A) carotid-cavernous fistula (CCF). The patient underwent right coil embolisation of direct CCF. On follow-up at 4 months, her proptosis resolved completely and extraocular movements improved.