TITLE:
Management of Carotid Carvenous Fistula in Ghana; Challenges and Opportunities
AUTHORS:
Ronald Awoonor-Williams, Raphael Kofi Vowotor, Frank Nketiah-Boakye, George Asafo Adjaye Frimpong, Angelina Ampong, Joseph Adjei Kwarteng, Pierre Kusi Aidoo Amankwah, Michael Leat
KEYWORDS:
Carotid-Cavernous, Fistula, Direct, Indirect, Spontaneous, Pregnancy, Interventional and Radiological
JOURNAL NAME:
Surgical Science,
Vol.11 No.11,
November
20,
2020
ABSTRACT: Carotid-cavernous fistula is an abnormal
communication between the carotid artery and the cavernous sinus. The fistula
is classified based on its etiology, haemodynamic and anatomical configuration.
The most common type is the direct high flow fistula resulting from trauma.
Indirect fistula which is less common results from underlying conditions such
as hypertension, collagen vascular diseases, pregnancy amongst others. It is in
regards with this uncommon occurrence of indirect fistula that we report a case
of forty years old
woman who presented with a left protruding eyeball and headache a month after
delivery and was diagnosed with spontaneous type D indirect carotid cavernous
fistula with rapidly progressing symptoms. She was referred abroad for interventional
radiological services due to unavailability of such services in our facility
and country.