Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2007 May;24(5):e28.
doi: 10.1136/emj.2006.045195.

An uncommon cause of epistaxis: cartoid cavernous fistula

Affiliations
Case Reports

An uncommon cause of epistaxis: cartoid cavernous fistula

Panupong Jiamsripong et al. Emerg Med J. 2007 May.

Abstract

We report on an uncommon cause of epistaxis presenting to the emergency room. Epistaxis is not an uncommon presentation to emergency rooms across the world. The majority are easily controlled and have low mortality. We present a case of a carotid-cavernous fistula presenting with massive epistaxis culmination in cardiovascular collapse and death. Awareness of this entity will reduce the frequency of this condition resulting in major morbidity and mortality.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

References

    1. Barrow D L, Spector R H, Braun I F.et al Classification and treatment of spontaneous carotid‐cavernous sinus fistulas. J Neurosurg 198562248–256. - PubMed
    1. van Rooij W J, Sluzewski M, Beute G N. Ruptured cavernous sinus aneurysms causing carotid cavernous fistula: incidence, clinical presentation, treatment, and outcome. AJNR Am J Neuroradiol 200627185–189. - PMC - PubMed
    1. Kim J Y, Farkas J, Putman C M.et al Paraclinoid internal carotid artery aneurysm presenting as massive epistaxis. Ann Otol Rhinol Laryngol 2000109782–786. - PubMed
    1. Andreou A, Ioannidis I, Psomas M. Transvenous embolization of a dural carotid‐cavernous fistula through the contralateral superior petrosal sinus. Neuroradiology 200649259–263. - PubMed

Publication types

MeSH terms