Turkish Neurosurgery 2021 , Vol 31 , Num 4
Bilateral Traumatic Carotid-Cavernous Fistula in a Child: Corkscrew Eyelid Vessels as an Indicator of Severe Congestion
1Suleyman Demirel University, Department of Ophthalmology, Isparta, Turkey
2Gulhane Education and Research Hospital, Department of Ophthalmology, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.30838-20.2 An 11-year-old girl presented with bilateral traumatic caroticocavernous fistula associated with corkscrew eyelid vessels, which were considered indicators of severe congestive disease in this case. Coil embolization was performed; similar to other congestive findings such as proptosis, orbital bruit, increased intraocular pressure, congested scleral and retinal vessels, engorged eyelid vessels resolved immediately after coil embolization. This pediatric case is unique given the caroticocavernous fistula was bilateral and was associated with prominent dilatation of the eyelid vessels, named for the first time as corkscrew eyelid vessels. Keywords : Pediatric trauma, Carotid-cavernous sinus fistula, Proptosis, Congestion, Coil embolization
Corresponding author : Umut KARACA, drumutkaraca@gmail.com