Abstract

CaroticoCavernous Fistulas (CCF) are caused by the laceration of the intercavernous portion of the carotid artery, or one of its intercavernous branches resulting in arterialisation of blood within the cavernous sinus. There are four types (A,B,C,D) of CCF out which type A (Direct type) and types B, C, and D (Indirect types) occur spontaneously. Prompt diagnosis and treatment of this condition can prevent visual loss, development of secondary glaucoma and intracranial hemorrhages.A unilateral orbital proptosis associated with sinusitis is an indication for endoscopic decompression. In our case even though there was unilateral orbital proptosis along with sinusitis, endoscopic surgery was unnecessary and did not significantly effect the course of patients illness. We present a case of unilateral orbital proptosis in a middle aged male with an indirect type of CCF detected on Magnetic Resonance Angiogram. The role of MR imaging and indications for endoscopic surgery in a unilateral orbital proptosis with review of relevant literature is discussed in this paper.

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