Evidence map›Paper›PMID 42377247›Full record

ArticleClinical practice and cases in emergency medicine2026

Carotid-cavernous Fistula in a Patient with Minimal Head and Facial Trauma: A Case Report.

Yoshihiro Miyake, Tomohiro Abe, Keisuke Kubo, Hideki Nagoshi, Hidenobu Ochiai

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Article in Clinical practice and cases in emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yoshihiro MiyakeUniversity of Miyazaki, Department of Emergency and Critical Care Medicine, Miyazaki, Japan.
Tomohiro AbeUniversity of Miyazaki, Department of Emergency and Critical Care Medicine, Miyazaki, Japan.
Keisuke KuboUniversity of Miyazaki, Department of Emergency and Critical Care Medicine, Miyazaki, Japan.
Hideki NagoshiUniversity of Miyazaki, Department of Emergency and Critical Care Medicine, Miyazaki, Japan.
Hidenobu OchiaiUniversity of Miyazaki, Department of Emergency and Critical Care Medicine, Miyazaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntracranial arterial injury is typically associated with high-energy trauma. Early diagnosis and treatment are essential for improving the patient's functional prognosis. CASE REPORT: A 76-year-old woman complained of pulsatile tinnitus 15 days post motor vehicle collision. On presentation she was found to have sustained polytrauma, mostly to her abdominal and thoracic regions, as well as a facial contusion. She then developed ptosis, conjunctival congestion, and an ocular motility disorder in all directions in her right eye. Magnetic resonance angiography showed a direct high-flow shunt from the internal carotid artery to the cavernous sinus. Similar symptoms then developed on her left side. She underwent successful embolization to the left-sided fistula.

conclusionFistulization of the carotid with the cavernous sinus is a rare complication of head or facial trauma. Our case indicates that this can occur even in patients with seemingly minor head or facial trauma.

Identifiers

PMID42377247
PMCPMC13135447

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.