TY - JOUR T1 - Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-227757 VL - 12 IS - 3 SP - e227757 AU - Nirupama Kasturi AU - Pooja Kumari AU - Gayatri Nagarajan AU - Nagarajan Krishnan Y1 - 2019/03/01 UR - http://casereports.bmj.com/content/12/3/e227757.abstract N2 - 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. ER -