Bilateral carotico-cavernous fistulae
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Findings
Dilated tortuous superior ophthalmic veins are seen in both orbits along with engorged facial veins. Extraocular muscles of orbits are thickened with proptosis, more pronounced on right side..
Both cavernous sinuses show diffuse distension & enhancement with multiple flow voids within.
MRA source images shows flow related hyperintensities within the cavernous sinuses but no focal communication is evident between cavernous carotid arteries and cavernous sinuses in MR angiography.
Both cavernous sinuses show diffuse distension & enhancement with multiple flow voids within.
MRA source images shows flow related hyperintensities within the cavernous sinuses but no focal communication is evident between cavernous carotid arteries and cavernous sinuses in MR angiography.
Diagnosis
Bilateral post-traumatic indirect carotico-cavernous fistulae
Dr. Supriya Ray MD is a Consultant Radiologist from with experience of 20-25 years post-graduated from IPGMER, UCM, Kolkata. Specialized in Reporting of CT-SCAN , MRI cases with expertise in Neuro-imaging , Spine-imaging , Musculoskeletal , Joints , Trauma , Stroke-imaging
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