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American Journal of Neuroradiology 25:1083-1085, June-July 2004
© 2004 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Direct Carotid Cavernous Fistula in Infancy: Presentation and Treatment

Ansaar T. Raia, Jennifer A. Sivak-Callcottb, Chris Larzob and Gary D. Maranoa

a Department of Neuroradiology, West Virginia University, Morgantown, WV
b Department of Ophthalmology, West Virginia University, Morgantown, WV

Address correspondence to Ansaar T. Rai, MD, Department of Neuroradiology, West Virginia University, P.O. Box 9235, Morgantown, WV 26506-9235

Summary: An 11-month-old female patient presented with symptoms of orbital venous congestion. A CT scan showed enlarged superior ophthalmic vein and cavernous sinus on the symptomatic side. Catheter angiography confirmed a direct carotid-cavernous fistula with intra- and extracranial venous drainage. Successful coil embolization of the fistula was performed with resolution of the infant’s symptoms and return of previously elevated intraocular pressures to normal. To our knowledge, no cases of carotid cavernous fistulas in infancy have been previously reported.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X