Disease Information for Carotid artery-cavernous sinus fistula

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Clinical Manifestations
Signs & Symptoms
Bruit of forehead
Neck/Carotid bruits
Attacks, neurologic, recurrent, varied
Bruit of head/skull
Amaurosis fugats/transient blindness-vision loss
Blindness/unilateral
Difficulty Focusing Eyes
Diplopia Double vision
Eye Pain, Unilateral
Eyelid Retraction
Flashing Spots/Lights in Vision
Fleeting Blindness
Loss vision one eye, sudden
Painless Vision Loss
Proptosis,bilateral
Proptosis,unilateral
Retinal fundus congested/edematous (eye)/sign
Temporary blindness
Transient Blindness One Eye
Visual symptoms
Pulsatile tinnitus
Tinnitus
Clinical Presentation & Variations
Presentation/Blindness Sudden Unilateral Painless Aged
Demographics & Risk Factors
Established Disease Population
Patient/Ehlers-Danlos syndrome
Patient/Arteriosclerosis
Diagnostic Test Results
CT Scan
CT Scan/Mass in the middle fossa/Head
MRI/MRA Carotid irregular narrowing/cavernous sinus area
MRI/MRA Head abnormal
MRI/MRA/Head neck abnormal
X-RAY
Xray/Erosion posterior clinoids/Skull
Angiography
Angios/Carotid occlusion
Angios/Neck vessels/Arch study/abnormal
Associated Diseases & Rule outs
Rule Outs
Carotid sinus syncope/sensitivity
Temporal/Craniotemporal arteritis
Associated Disease & Complications
Blindness
Carotid artery-cavernous sinus fistula
CVA Vascular disorders causes
Exophthalmos
Transient ischemic attack/cerebral
Ischemic Retinopathy
Disease Mechanism & Classification
Class
CLASS/Cardiovascular (category)
CLASS/Vascular disorder (ex).
CLASS/Neurologic (category)
Pathophysiology
Pathophysiology/Shunting, arteriovenous
Process
PROCESS/Arteriosclerosis/vascular/venous (category)
PROCESS/Fistula disorder (ex)
PROCESS/Structural/anatomic/foreign body (category)
Treatment
Surgical Procedures or Treatments
SX/Surgery
Definition

Laceration of the intracavernous portion of the carotid artery or one of its intracavernous branches resulting in a direct communication between the internal carotid artery and the cavernous sinus. Clinically, this produces a pulsatile exophthalamus and a marked limitation of extraocular motion in the affected eye. CRANIOCEREBRAL TRAUMA, especially basilar skull fractures (SKULL FRACTURE, BASILAR) is the most common cause of this condition, but it may also occur spontaneously or in association with diseases featuring defective connective tissue, such as EHLERS-DANLOS SYNDROME. (Adams et al., Principles of Neurology, 6th ed, p877)

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NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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