Carotid-cavernous sinus fistula accompanying facial trauma. Report of a case with a review of the literature

Abstract

A case of traumatic carotid-cavernous sinus fistula, an abnormal communication at the base of the skull between the internal carotid artery and the cavernous sinus, complicating fractures of the zygoma and mandible is described. Typical signs and symptoms appeared immediately after the injury resulting from a traffic accident. Angiography revealed a definite CCSF and a balloon embolization was performed with a good result. The importance of a multidisciplinary examination of the ophthalmic function and periorbital condition following trauma is emphasized, and interdepartmental cooperation helped to establish a rational diagnosis and obtain a good result.