Sixth Nerve Palsy Secondary to Traumatic Carotid-Jugular Fistula

Kevin M. Halenda, Scott Y Rahimi, Jordan J. Patton, Dilip Abraham Thomas

Research output: Contribution to journalArticle

Abstract

Carotid-jugular fistulae are rare complications of penetrating head and neck trauma. We report an unusual case of an external carotid-internal jugular fistula presenting with diplopia due to sixth nerve paresis. A 38-year-old Caucasian female presented in the setting of acute neurovascular neck trauma and weeks later developed symptomatic diplopia. An acquired carotid-internal jugular fistula affecting the abducens nerve secondarily via compression from a distended inferior petrosal sinus was diagnosed and treated using endovascular coil embolisation, resolving the patient’s symptoms. A posteriorly draining external carotid artery-internal jugular venous fistula can be an uncommon cause of a compressive sixth cranial nerve palsy.

Original languageEnglish (US)
JournalNeuro-Ophthalmology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Abducens Nerve Diseases
Fistula
Neck
Diplopia
Penetrating Head Injuries
Abducens Nerve
External Carotid Artery
Paresis
Wounds and Injuries

Keywords

  • Carotid-jugular fistula
  • diplopia
  • sixth nerve palsy
  • trauma

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

Cite this

Sixth Nerve Palsy Secondary to Traumatic Carotid-Jugular Fistula. / Halenda, Kevin M.; Rahimi, Scott Y; Patton, Jordan J.; Thomas, Dilip Abraham.

In: Neuro-Ophthalmology, 01.01.2018.

Research output: Contribution to journalArticle

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