Houston Methodist Hospital Neurological Institute Cerebrovascular Program offers expert diagnosis and treatment for carotid cavernous fistulas.
A carotid cavernous fistula (CCF) is an abnormal connection between the carotid artery and the venous space at the base of the skull. They can occur spontaneously in patients with connective tissue disorders, or as the result of head trauma, or cavernous sinus aneurysm rupture. Patients can present with a bruit (buzzing or swishing sound), double vision, a red or budging eye (proptosis), or eye pain.
CT and MRI will demonstrate proptosis and enlargement of the affected cavernous sinus, with cerebral angiography being the diagnostic test of choice. Both the internal and external carotid artery are selectively catheterized so that all feeders to the fistula can be expertly evaluated and an individualized treatment plan developed.
When surgical intervention is indicated, Houston Methodist offers both endovascular embolization and trapping with surgically placed clips.