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Carotid artery syndrome (cavernous sinus fistula syndrome; red-eyed shunt syndrome) 201


Carotid artery syndrome (cavernous sinus fistula syndrome; red-eyed shunt syndrome)         201

Carotid Artery Syndrome (Cavernous Sinus Fistula Syndrome; Red-Eyed Shunt Syndrome) 201

General: Seventy-five percent of cases caused by trauma; others occur spontaneously or are congenital; 414h75e fistula from carotid artery to cavernous sinus.

Ocular: Progressive, pulsating exophthalmos; distended pulsating superior orbital vein; venous congestion of lids; variable ophthalmoplegia, depending on involvement of cranial nerves III to VI; secondary glaucoma; congestion of conjunctiva with chemosis; corneal ulcerations; eversion of the lower lid; loss of corneal sensation; retinal edema; engorgement of retinal veins; papilledema; optic atrophy; ocular bruit that may be subjective and/or objective; diplopia; visual decrease; choroidal folds; dilated superior ophthalmic vein.

Clinical: Severe unilateral headache; buzzing noise.

Dailey EJ, et al. Evaluation of ocular signs and symptoms in cerebral aneurysms. Arch Ophthalmol 1964; 71:463.

Duane TD. Clinical Ophthalmology. Philadelphia: JB Lippincott, 1987.

Flaharty PM, et al. Color Doppler imaging. A new noninvasive technique to diagnose and monitor carotid cavernous sinus fistulas. Arch Ophthalmol 1991; 109:522-526.



Fraunfelder FT, Roy FH. Current Ocular Therapy, 5th ed. Philadelphia: WB Saunders, 2000.

Gonshor LG, Kline LB. Choroidal folds and dural cavernous sinus fistula. Arch Ophthalmol 1991; 109:1065-l066.

Phelps CD, et al. The diagnosis and prognosis of atypical carotid cavernous fistula. Am J Ophthalmol 1982; 93: 423-436.

Travers B. A case of aneurysm by anastomosis in the orbit, cured by ligation of common carotid artery. Med Chir Trans 1917; 2:1.



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