Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Bilateral Visual Loss as a Sole Manifestation Complicating Carotid Cavernous Fistula

  • Yu, Jeong-Keun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Hwang, Gyo-Jun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University and Graduate School of Gangwon University) ;
  • Sheen, Seung-Hun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University) ;
  • Cho, Yong-Jun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University)
  • Received : 2010.08.06
  • Accepted : 2011.03.27
  • Published : 2011.04.28
Download PDF
⟨ Previous Next ⟩

Abstract

Visual loss is one of the ocular symptoms resulting from a carotid cavernous fistula (CCF), but has rarely been reported as the sole manifestation in CCF. Visual impairment is known to be associated with a poor outcome unless timely intervention is employed. Herein, the authors report a patient with bilateral rapid progressing visual loss as a sole manifestation in CCF. Vision was successfully restored by transarterial embolization. The authors discuss the necessity of urgent fistula obliteration in patients with visual loss.

Keywords

References

  1. Albuquerque FC, Heinz GW, McDougall CG : Reversal of blindness after transvenous embolization of a carotid-cavernous fistula : case report. Neurosurgery 52 : 233-236; discussion 236-237, 2003
  2. Brodsky MC, Hoyt WF, Halbach VV, Hieshima GB, Higashida RT, Barbaro NM : Recovery from total monocular blindness after balloon embolization of carotid-cavernous fistula. Am J Ophthalmol 104 : 86-87, 1987
  3. Das S, Bendok BR, Novakovic RL, Parkinson RJ, Rosengart AJ, Macdonald RL, et al. : Return of vision after transarterial coiling of a carotid cavernous sinus fistula : case report. Surg Neurol 66 : 82-85; discussion 85, 2006 https://doi.org/10.1016/j.surneu.2005.10.008
  4. Edwards MS, Chater NL, Stanley JA : Reversal of chronic ocular ischemia by extracranial-intracranial arterial bypass: case report. Neurosurgery 7 : 480-483, 1980 https://doi.org/10.1227/00006123-198011000-00011
  5. Hedges TR 3rd, Debrun G, Sokol S : Reversible optic neuropathy due to carotid-cavernous fistula. J Clin Neuroophthalmol 5 : 37-40, 1985
  6. Leonard TJ, Moseley IF, Sanders MD : Ophthalmoplegia in carotid cavernous sinus fistula. Br J Ophthalmol 68 : 128-134, 1984 https://doi.org/10.1136/bjo.68.2.128
  7. Liang CC, Michon JJ, Cheng KM, Chan CM, Cheung YL : Ophthalmologic outcome of transvenous embolization of spontaneous carotid-cavernous fistulas : a preliminary report. Int Ophthalmol 23 : 43-47, 1999 https://doi.org/10.1023/A:1006409826007
  8. Palestine AG, Younge BR, Piepgras DG : Visual prognosis in carotid-cavernous fistula. Arch Ophthalmol 99 : 1600-1603, 1981 https://doi.org/10.1001/archopht.1981.03930020474014
  9. Russell NA, Mangan MA, Pryse-Phillips W, Sharma LK : Treatment of carotid cavernous fistula by intravascular occlusion using a balloon catheter. Can J Surg 22 : 452-455, 1979
  10. Sanders MD, Hoyt WF : Hypoxic ocular sequelae of carotid-cavernous fistulae. Study of the caues of visual failure before and after neurosurgical treatment in a series of 25 cases. Br J Ophthalmol 53 : 82-97, 1969 https://doi.org/10.1136/bjo.53.2.82
  11. Weinstein JM, Rufenacht DA, Partington CR, Graves VB, Strother CM, Appen RE, et al. : Delayed visual loss due to trauma of the internal carotid artery. Arch Neurol 48 : 490-497, 1991 https://doi.org/10.1001/archneur.1991.00530170050020

Cited by

  1. Cataract surgery and preexisting bilateral carotid cavernous fistula vol.1, pp.1, 2011, https://doi.org/10.1016/j.jcro.2013.06.003
  2. La tomografía computarizada y la resonancia magnética en patologías frecuentes de órbita y vía óptica. Una revisión vol.11, pp.1, 2013, https://doi.org/10.19052/sv.2322
  3. Mid- and long-term outcomes of carotid-cavernous fistula endovascular management with Onyx and n-BCA: experience of a single tertiary center vol.7, pp.10, 2011, https://doi.org/10.1136/neurintsurg-2014-011266
  4. Unilateral Direct Carotid Cavernous Fistula Causing Bilateral Ocular Manifestation vol.6, pp.3, 2015, https://doi.org/10.1159/000443141