Pediatric Bilateral Traumatic Caroticocavernous Fistula: Corkscrew Eyelid Vessels as an Indicator of Severe Congestion.

Karaca U. , Kucukevcilioglu M., Ayyildiz O., Mutlu F. M. , Ozge G.

Turkish neurosurgery, vol.31, pp.654-657, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 31
  • Publication Date: 2021
  • Doi Number: 10.5137/1019-5149.jtn.30838-20.2
  • Title of Journal : Turkish neurosurgery
  • Page Numbers: pp.654-657
  • Keywords: Pediatric trauma, Carotid-cavernous sinus fistula, Proptosis, Congestion, Coil embolization


An 11-year-old girl presented with bilateral traumatic caroticocavernous fistula associated with corkscrew eyelid vessels, which were considered indicators of severe congestive disease in this case. Coil embolization was performed; similar to other congestive findings such as proptosis, orbital bruit, increased intraocular pressure, congested scleral and retinal vessels, engorged eyelid vessels resolved immediately after coil embolization. This pediatric case is unique given the caroticocavernous fistula was bilateral and was associated with prominent dilatation of the eyelid vessels, named for the first time as corkscrew eyelid vessels.