A case of delayed carotid cavernous fistula after facial gunshot injury presented as loss of vision with symptom resolution after endovascular closure procedure

Carotid cavernous fistulas (CCFs) are abnormal connections between the carotid artery and the cavernous sinus (CS), and can occur as a result of blunt and penetrating head injuries. While occurrence is rare, diagnosis can be made in the emergency department. Described in the present report is the case of a 26-year-old man who presented with complaints of pain, redness, blurred and loss of vision in the right eye, and swelling of the upper face due to a gunshot injury he had sustained 35 days prior.

Yüz bölgesine ateþli silah yaralanmasý sonrasý görme kaybý ile baþvuran ve endovasküler tedavi sonrasý semptomlarý düzelen gecikmiþ karotikokavernöz fistül olgusu

Karotit kavernöz fistüller karotis arter ve kavernöz sinüs arasýndaki anormal baðlantýlardýr. Künt ve penetran kafa yaralanmalarý karotikokavernöz fistül ile sonuçlanabilir. Her ne kadar nadir olarak ortaya çýksa da tanýsý acil serviste konabilir. Bu yazýda, 35 gün önce yüzüne ateþli silah yaralanmasýndan sonra sað gözünde kýzarýklýk, aðrý, görmede bulanýklýk, görme kaybý ve yüzün üst yarýsýnda þiþme þikayeti ile acil servise baþvuran 26 yaþýndaki hasta sunuldu.