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All Journal Journal of Pain, Vertigo and Headache
Wino Vrieda Vierlia
Department of Ophthalmology-Faculty of Medicine- Brawijaya University
Neuroscience

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PAINFUL OPHTHALMOPLEGIA IN CAROTID-CAVERNOUS FISTULA Wino Vrieda Vierlia; Seskoati Prayitnaningsih
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.605 KB) | DOI: 10.21776/ub.jphv.2022.003.01.1

Abstract

Ophthalmoplegia is defined as a consequence of multiple cranial nerve paralysis innervated the extraocular muscles. The impairment of ophthalmic branch of trigeminal nerve will create a painful condition. Numerous underlying mechanism have been proposed related to painful ophthalmoplegia and carotid-cavernous fistula is one of the main causes with sight and life threatening outcome if left untreated. Carotid-cavernous fistula arises as an abnormal communication between carotid artery and cavernous sinus. Important signs and symptoms of carotid-cavernous fistula may include red eye, proptosis, painful ophthalmoplegia, headache and vision loss. Neuroimaging and angiography are mandatory in diagnosing the disease. Systematized approach and early recognition to the evaluation of carotid-cavernous fistula will lead to prompt management in avoiding morbidity and mortality in severe cases. 
PAINFUL OPHTHALMOPLEGIA IN CAROTID-CAVERNOUS FISTULA Wino Vrieda Vierlia; Seskoati Prayitnaningsih
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2022.003.01.1

Abstract

Ophthalmoplegia is defined as a consequence of multiple cranial nerve paralysis innervated the extraocular muscles. The impairment of ophthalmic branch of trigeminal nerve will create a painful condition. Numerous underlying mechanism have been proposed related to painful ophthalmoplegia and carotid-cavernous fistula is one of the main causes with sight and life threatening outcome if left untreated. Carotid-cavernous fistula arises as an abnormal communication between carotid artery and cavernous sinus. Important signs and symptoms of carotid-cavernous fistula may include red eye, proptosis, painful ophthalmoplegia, headache and vision loss. Neuroimaging and angiography are mandatory in diagnosing the disease. Systematized approach and early recognition to the evaluation of carotid-cavernous fistula will lead to prompt management in avoiding morbidity and mortality in severe cases. 
Co-Authors Seskoati Prayitnaningsih