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BRIEF COMMUNICATION
Year : 2013  |  Volume : 61  |  Issue : 7  |  Page : 349-351

The association of carotid cavernous fistula with Graves' ophthalmopathy


1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Cerrahpasa Medical School, University of Istanbul, Istanbul, Turkey
2 Division of Neuroradiology, Department of Radiology, Cerrahpasa Medical School, University of Istanbul, Istanbul, Turkey
3 Department of Ophthalmology, Cerrahpasa Medical School, University of Istanbul, Istanbul, Turkey

Correspondence Address:
A Sadi Gundogdu
Cerrahpasa Tip Fakultesi, Ic Hastaliklari Anabilim Dali, Endokrinoloji-Metabolizma ve Diyabet Bilim Dali , 34303, Cerrahpasa, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.109533

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Graves' ophthalmopathy (GO) is one of the frequent manifestations of the disorder which is an inflammatory process due to fibroblast infiltration, fibroblast proliferation and accumulation of glycosaminoglycans. Eye irritation, dryness, excessive tearing, visual blurring, diplopia, pain, visual loss, retroorbital discomfort are the symptoms and they can mimic carotid cavernous fistulas. Carotid cavernous fistulas are abnormal communications between the carotid arterial system and the cavernous sinus. The clinical manifestations of GO can mimic the signs of carotid cavernous fistulas. Carotid cavernous fistulas should be considered in the differential diagnosis of the GO patients especially who are not responding to the standard treatment and when there is a unilateral or asymmetric eye involvement. Here we report the second case report with concurrent occurrence of GO and carotid cavernous fistula in the literature.


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