• Jincai Fang, Genghuan Wang, and Yunnong Song.
• Department of Neurosurgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
• World Neurosurg. 2024 Nov 22; 193: 155157155-157.

AbstractA 37-year-old man with a history of head trauma surgery 8 years previously was admitted because of persistent pulsatile exophthalmos and intracranial murmur. Angiography results showed that blood from the right internal carotid artery flowed directly into the cavernous sinus , with the arterial system above the cavernous sinus not visualized; early visualization of the right venous sinus system; dilation of the right superior ophthalmic vein and the medial canthal vein. Bilateral anterior and middle cerebral arteries were perfused through the left internal carotid artery. We diagnosed a right-sided carotid-cavernous fistula. After a comprehensive preoperative assessment, we chose spring coil embolization treatment, which resulted in the disappearance of symptoms after treatment. Three months later, on follow-up, the patient reported no longer hearing intracranial murmur, and auscultation of the right temporal region showed no abnormal sounds.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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