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Traumatic carotid-cavernous sinus fistula accompanying abducens nerve (VI) palsy in blowout fractures: Missed diagnosis of 'white-eyed shunt'

Title
Traumatic carotid-cavernous sinus fistula accompanying abducens nerve (VI) palsy in blowout fractures: Missed diagnosis of 'white-eyed shunt'
Authors
Kim J.-W.Kim S.-J.Kim M.-R.
Ewha Authors
김명래김선종김진우
SCOPUS Author ID
김명래scopus; 김선종scopus; 김진우scopus
Issue Date
2013
Journal Title
International Journal of Oral and Maxillofacial Surgery
ISSN
0901-5027JCR Link
Citation
vol. 42, no. 4, pp. 470 - 473
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
We report the case of a 32-year-old woman with bilateral blowout fractures. She presented with diplopia showing impaired abduction of the left eye soon after trauma. No other orbito-ocular signs, such as exophthalmos, ptosis, or chemosis, were found. Orbital reconstruction was performed, but no improvement in her ophthalmoplegia was observed after surgery. A carotid angiography showed that she was suffering from a posteriorly draining carotid-cavernous sinus fistula with isolated abducens nerve palsy. Coil embolization was conducted under the consultation of a neurosurgeon, after which her ophthalmoplegia resolved fully. This is a rare case of posteriorly draining carotid-cavernous sinus fistula without classic orbito-ocular signs, the absence of which may cause diagnostic confusion. © 2013 International Association of Oral and Maxillofacial Surgeons.
DOI
10.1016/j.ijom.2013.01.007
Appears in Collections:
의과대학 > 의학과 > Journal papers
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