Abstract
Carotid-jugular fistulae are rare complications of penetrating head and neck trauma. We report an unusual case of an external carotid-internal jugular fistula presenting with diplopia due to sixth nerve paresis. A 38-year-old Caucasian female presented in the setting of acute neurovascular neck trauma and weeks later developed symptomatic diplopia. An acquired carotid-internal jugular fistula affecting the abducens nerve secondarily via compression from a distended inferior petrosal sinus was diagnosed and treated using endovascular coil embolisation, resolving the patient’s symptoms. A posteriorly draining external carotid artery-internal jugular venous fistula can be an uncommon cause of a compressive sixth cranial nerve palsy.
Original language | English (US) |
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Pages (from-to) | 41-44 |
Number of pages | 4 |
Journal | Neuro-Ophthalmology |
Volume | 44 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2 2020 |
Keywords
- Carotid-jugular fistula
- diplopia
- sixth nerve palsy
- trauma
ASJC Scopus subject areas
- Ophthalmology
- Clinical Neurology