PT - JOURNAL ARTICLE AU - Geoffrey Law AU - Gavin Docherty TI - Dural carotid cavernous fistula following hypertensive emergency AID - 10.1136/bcr-2019-230823 DP - 2019 Sep 01 TA - BMJ Case Reports PG - e230823 VI - 12 IP - 9 4099 - http://casereports.bmj.com/content/12/9/e230823.short 4100 - http://casereports.bmj.com/content/12/9/e230823.full SO - BMJ Case Reports2019 Sep 01; 12 AB - A 58-year-old woman was referred to the outpatient ophthalmology clinic with progressive bilateral eye redness and vision loss. She had presented 2 weeks earlier with an episode of hypertensive emergency. CT angiography revealed bilateral superior ophthalmic vein (SOV) dilation, prompting further workup with a cerebral angiogram. Subsequent imaging revealed an indirect (type D) carotid-cavernous fistula (CCF) with venous drainage into both SOVs and cavernous sinuses. Successful treatment of the CCF with coil embolisation required interdisciplinary teamwork between ophthalmologists and interventional neuroradiologists. The patient made a substantial visual recovery following treatment.