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On The Spontaneous Cure Of A Case Of Pulsating Exophthalmos

Di, L. U. C. 1966Other/Unknown

Rivista Oto-Neuro-Oftalmologica (Bologna) 41(6): Nov-Dec 1966; 723-728

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Abstract

Two case reports of spontaneous healing of carotid cavernous anastomosis are presented. In one female patient the obliteration of the fistula developed right after carotid angiography. Particularities of the clinical picture attending self-healing of the anastomosis are described. Possible variations of thrombogenesis in the venous and arterial bed, along with isolated obliteration with the limits of the defective arterial wall, are discussed.

Case Details

Personal Characteristics

24-year-old woman

Clinical Characteristics

Pulsating exophthalmos that appeared after a bad bicycle fall, evidence of collateral venous stasis

Remission Characteristics

Disappearance of the exophthalmos and endocranial pulsation after eight years

Treatment & Mechanisms

Proposed Remission Mechanisms

Sudden closing of the fistula by a mobile thrombus, valvular arteriovenous connection

Additional Notes

The recovery was spontaneous and sudden, following a loss of consciousness.