Bilateral visual loss as a sole manifestation complicating carotid cavernous fistula

J Korean Neurosurg Soc. 2011 Apr;49(4):229-30. doi: 10.3340/jkns.2011.49.4.229. Epub 2011 Apr 30.


Visual loss is one of the ocular symptoms resulting from a carotid cavernous fistula (CCF), but has rarely been reported as the sole manifestation in CCF. Visual impairment is known to be associated with a poor outcome unless timely intervention is employed. Herein, the authors report a patient with bilateral rapid progressing visual loss as a sole manifestation in CCF. Vision was successfully restored by transarterial embolization. The authors discuss the necessity of urgent fistula obliteration in patients with visual loss.

Keywords: Carotid cavernous fistula; Endovascular.

Publication types

  • Case Reports