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The patient denied recent trauma, as well as other relevant medical history. The scan showed a moderate proptosis of the left eye, with chemosis and conjunctival injection (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). A cranial CT scan with contrast showed a thickening of the left carotid sinus with engorgement of the superior ophthalmic vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). An angiography was requested when a carotid-cavernous fistula (CCF) was suspected, which confirmed the existence of a low-flow CCF (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Given the characteristics of the CCF, conservative treatment with regular manual compressions at the level of the ipsilateral internal carotid artery led to its resolution in a few months (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Riancho J, Navasa JM, Sedano-Tous MJ, Polo JM. Fístula carótido-cavernosa tratada con compresiones carotídeas. Med Clin (Barc). 2016;146:48.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 716 "Ancho" => 1298 "Tamanyo" => 188415 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014600000001/v3_201605230108/S2387020616300638/v3_201605230108/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014600000001/v3_201605230108/S2387020616300638/v3_201605230108/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300638?idApp=UINPBA00004N" ]
Journal Information
Vol. 146. Issue 1.
Pages 48 (January 2016)
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Vol. 146. Issue 1.
Pages 48 (January 2016)
Image in medicine
Carotid-cavernous fistula successfully treated with carotid compression
Fístula carótido-cavernosa tratada con compresiones carotídeas
a Servicio de Neurología, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Universidad de Cantabria, Santander, Spain
b Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Santander, Spain
c Servicio de Radiología, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Universidad de Cantabria, Santander, Spain
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