Importance of the clinical method in the diagnosis of the carotid-cavernous fistula
Keywords:
carotid cavernous arteriovenous fistula, proptosis, obliteration of arteriovenous fistula, ophthalmologic centers.Abstract
The case report of a 49 years patient that presented a proptosis with right eye reddening due to a hipertensive crisis is described, reason why he received different diagnosis and treatments. As the patient didn't improve and other clinical features appeared, he was referred to the Glaucoma and Neurophthalmology Service of the Ophthalmologic Center in Santiago de Cuba, where some studies were carried out which lead to the definitive diagnosis of indirect and of low flow carotid cavernous arteriovenous fistula in the right side. External manual compression of the carotid was indicated and the obliteration of the fistula and improvement of the affected patient was achieved.
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