Atypical Presentation and Disappearance of a Barrow Type A CCF With Glaucoma, Ptosis and 6th Nerve Palsy

Abstract

The caroticocavernous fistula is a specific type of dural arteriovenous fistula characterized by abnormal arteriovenous shunting within the cavernous sinus. A caroticocavernous fistula results in high-pressure arterial blood entering the low-pressure venous cavernous sinus. This interferes with normal venous drainage patterns and compromises blood flow within the cavernous sinus and the orbit. We present a Barrow type A caroticocavernous fistula case, presented with glaucoma, ptosis and 6th nerve palsy without any history of trauma and atypically disappeared after acetolozomide theraphy. In conclusion, before beginning for an invasive treatment of a CCF, acetolozomide theraphy can be started initially because it may have a role in closure of CCF due to its vasoregulatory effects in the brain.




J Med Cases. 2012;3(4):247-249
doi: https://doi.org/10.4021/jmc601w