INDIRECT CARTOTID CAVERNOUS FISTULA

Abstract

A 53 year old lady presented with, the complaint of headache for the last 03 months. The headache was moderately severe, throbbing in nature and aggravated by stooping. Initially she had nausea of right eye but it settled down after few weeks. The patients also noticed redness of right eye with mild protrusion for the last one month. There was no complaint of vomiting, diplopia or neck stiffness. She had dry cough for the last five months with out any fever dyspenea or weight loss. There was no history of trauma conjuctival itching, discharge, or sticking of eyelids.
Her general physical examination revealed an afebrile middle-aged lady with a pulse of 88/min blood pressure of 120/80 mmHg, and respiratory rate of 14/min, Examination of chest, heart, abdomen and nervous system reveald no abnormality.