Abstract：
BACKGROUND: Patients with traumatic carotid-cavernous fistula (TCCF) usually go to the ophthalmology department first because of the symptoms such as protrusion of eyes, edema and congestion of combined membrane, vision loss and so on. It is easy to be misdiagnosed and missed.
METHODS: We report a case of left eye swelling and vision loss caused by TCCF after head injury due to traffic accident, which failed to respond to ophthalmic treatment for many times. The similar situation is very likely to cause panic among patients.
METHODS: Cerebral angiography revealed left internal carotid-cavernous fistula (high flow type).
METHODS: Left internal carotid artery covered stent implantation was performed.
RESULTS: The fistulas and the original venous mass were completely covered by the covered stent, and the development of the vascular mass disappeared. The patient\'s eye symptoms basically disappeared 14 days after the operation.
CONCLUSIONS: Interventional treatment of TCCF is effective.
METHODS: We report a case of left eye swelling and vision loss caused by TCCF after head injury due to traffic accident, which failed to respond to ophthalmic treatment for many times. The similar situation is very likely to cause panic among patients.
METHODS: Cerebral angiography revealed left internal carotid-cavernous fistula (high flow type).
METHODS: Left internal carotid artery covered stent implantation was performed.
RESULTS: The fistulas and the original venous mass were completely covered by the covered stent, and the development of the vascular mass disappeared. The patient\'s eye symptoms basically disappeared 14 days after the operation.
CONCLUSIONS: Interventional treatment of TCCF is effective.
摘要：
背景：患有外伤性颈动脉海绵窦瘘（TCCF）的患者通常会因为眼睛突出等症状而首先去眼科，联合膜水肿和充血，视力丧失等等。很容易被误诊和漏诊。
方法：我们报告一例因交通事故导致头部受伤后TCCF引起的左眼肿胀和视力丧失，多次对眼科治疗无效。类似的情况很可能会引起患者的恐慌。
方法：脑血管造影显示左侧颈内动脉海绵窦瘘（高流量型）。
方法：行左颈内动脉覆膜支架植入术。
结果：瘘管和原始静脉块完全被覆膜支架覆盖，血管肿块的发展消失了。术后14天患者眼部症状基本消失。
结论：TCCF的介入治疗是有效的。
方法：我们报告一例因交通事故导致头部受伤后TCCF引起的左眼肿胀和视力丧失，多次对眼科治疗无效。类似的情况很可能会引起患者的恐慌。
方法：脑血管造影显示左侧颈内动脉海绵窦瘘（高流量型）。
方法：行左颈内动脉覆膜支架植入术。
结果：瘘管和原始静脉块完全被覆膜支架覆盖，血管肿块的发展消失了。术后14天患者眼部症状基本消失。
结论：TCCF的介入治疗是有效的。
