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Article
September 1954

CAROTID-CAVERNOUS FISTULA WITH TYPICAL SIGNS ON CONTRALATERAL SIDE ONLY

Author Affiliations

SAN FRANCISCO
From the Division of Ophthalmology, Department of Surgery, Stanford University School of Medicine.

AMA Arch Ophthalmol. 1954;52(3):433-441. doi:10.1001/archopht.1954.00920050435011
Abstract

THE OCCURRENCE of homolateral pulsating exophthalmos following a carotid-cavernous fistula, either traumatic or spontaneous, is well known. In addition, the same eye often manifests signs of venous congestion, such as dilated veins in the conjunctiva, eyelid, and retina and bulbar chemosis. Not infrequently a similar picture will subsequently develop in the contralateral eye owing to the opening of intercavernous communications. It is not necessary here to go into the anatomical and physiological reasons for this train of events. These, along with the clinical picture and treatment, have already been clearly summarized in the literature.*

Cases of carotid-cavernous fistula with absence of classic ocular signs on the homolateral side and the presence of these signs on the contralateral side are rare. Four cases are reported in the literature, and, of these, autopsy was obtained in only one. A fifth case, with autopsy findings, will be presented in this paper. However, I

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