Ajhoun Yousra, El Khoyali Adil, Aissa Ismail, Laaribi Nisrine, Mouzari Yassine, Reda Karim, Oubaaz Abdelbarre
Department of Ophthalmology, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
Department of Anesthesiology and Intensive Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
Pan Afr Med J. 2019 Dec 18;34:204. doi: 10.11604/pamj.2019.34.204.19445. eCollection 2019.
Posttraumatic carotid-cavernous fistula (CCF) is a very rare complication that can occur in patients with craniomaxillofacial trauma. It is defined by abnormal communication between arteries and veins located in the cavernous sinus. CCFs can be divided into two groups: direct, which are usually post traumatic and classically with a high flow and acute onset of symptoms. On the other hand, indirect CCFs are in the most of cases idiopathic and typically insidious of onset. The aim of the present case report is to describe an atypical presentation of direct CCF characterized by the insidious onset of symptoms with the goal to think about this rare complication and so not to delay the treatment which is an emergency in this case.
创伤后颈内动脉海绵窦瘘（CCF）是一种非常罕见的并发症，可发生于颅颌面创伤患者。它是由海绵窦内动脉与静脉之间的异常交通所定义的。CCF可分为两组：直接型，通常为创伤后发生，典型表现为高流量和急性症状发作。另一方面，间接型CCF在大多数情况下是特发性的，通常起病隐匿。本病例报告的目的是描述一例直接型CCF的非典型表现，其特征为症状隐匿起病，旨在提醒关注这种罕见并发症，以免延误治疗，因为在这种情况下治疗是紧急的。
