Carotid-cavernous fistula. An unusual case presentation

Abstract

Carotid-cavernous fistula is an abnormal communication between the carotid artery and the cavernous sinus. It is not a common reason for consultation, which can be difficult to diagnosis by presenting a clinical picture similar to the others, therefore the objectives are to describe the characteristics with which arose the entity in a patient attended in the ophthalmological centre in Santiago de Cuba in the year 2014 and contribute to the dissemination of scientific information for future diagnostics and patients with carotid-cavernous arteriovenous fistula integrated management. Is presented the case of a patient of 49 years of age, white, male, with a history of arterial hypertension, which following a crisis hypertensive presented a proptosis of the right eye with redness. Studies are conducted that allowed the diagnosis of right arteriovenous carotid-cavernous fistula indirect of low flow. It was referred to the Hermanos Ameijeiras Hospital, where study and treatment was continued. Manual external compression of the carotid artery improved the condition. The presentation of this case allows describing the entity to know their features, as well as the disclosure scientific for contribute to them future diagnostics of this entity.