DOI: 10.36347/sjmcr.2020.v08i10.002

Pages: 875-877

Carotid-cavernous fistula is an abnormal communication between the cavernous sinus and the carotid arterial system. The clinical presentation is dominated by pulsatile proptosis. We report the case of a 31-year-old man who presented with a recent onset of pulsatile proptosis. A cerebral angio-CT scan revealed a left-sided dilation of the cavernous sinus veins due to a direct carotid cavernous fistula. The patient was referred to radiology department where and endovascular approach was performed.