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Journal of Korean Neurosurgical Society > Volume 49(4); 2011 > Article
Journal of Korean Neurosurgical Society 2011;49(4): 229-230.
doi: https://doi.org/10.3340/jkns.2011.49.4.229
Bilateral Visual Loss as a Sole Manifestation Complicating Carotid Cavernous Fistula.
Jeong Keun Yu, Gyojun Hwang, Seung Hun Sheen, Yong Jun Cho
1Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, Korea.
2Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University and Graduate School of Gangwon University, Chuncheon, Korea. storynlemon@gmail.com
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.
Key Words: Carotid cavernous fistula; Endovascular
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