[Recurrent neurosensory macular detachment in carotid-cavernous fistula]

Abstract

Case report: A 46 year-old man was seen in the emergency department complaining of vision loss and exophthalmos in his right eye. He also complained of headache, diplopia of 4 months onset, and neurosensory detachment that resolved spontaneously the month before. The study revealed tortuous conjunctival and episcleral vessels and neurosensory macular detachment in his right eye. A carotid-cavernous fistula was confirmed by computed tomography angiography. The fistula closed spontaneously during the hospitalization. One month later, the neurosensory detachment disappeared again.

Discussion: Carotid-cavernous fistula should be included in the differential diagnosis of neurosensory macular detachments. These neurosensory detachments can resolve spontaneously 11 the fistula is closed.

Keywords: Carotid-cavernous sinus fistula; Desprendimiento macular; Desprendimiento neurosensorial; Desprendimiento seroso macular; Dural arteriovenous fistula; Fístula arteriovenosa dural; Fístula carótido-cavernosa; Macular detachment; Neurosensory detachment; Serous macular detachment.