Carotid-cavernous sinus fistula (CCSF) is an abnormal rterio-=venous communication between the cavernous sinus and the internal carotid artery. It is usually caused by craniofacial trauma and a very rarely encountered complication, but it may
also
occur
spontaneously.
The most common cause of traumatic CCSF is blunt trauma, which usually associated with a skull base, frontal or midfacial fracture.
The common clinical feature of CCSF are orbital bruit, headache, exophthalmos, chemosis, diplopia, uisual disturbance and others. This dramatic ocular-orbital symptoms are principally cue to orbital venous hypertension. The symptoms occured
within
a few
hours to a maximum of a year after injury, usually within several weeks.
Tfhe patient, 33-year-old female, developed a carotid-cavernous sinus fistula after only minimal closed trauma.
We present a rare case of CCSF associated faclal bone fracture that was successfully treated by detachable ballooon embolization with a review of the literature.
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