Abstract：
Carotid-Cavernous sinus fistula (CCF) represents a misdiagnosed condition with potential repercussion in functional, neurological, and social roles of patients with this disease. Earlier reports remark on the efficiency and safety of endovascular therapy with resolution of the symptoms were performed appropriately. We present a case of a male patient from a developing country, with gunshot wound head trauma history and short-term progressive functional and neurological impairment in the presence of intracranial hypertension and ocular symptoms who developed a large CFF, subsequently treated by transradial access embolization. We aim to describe the real-world experience in diagnosis and treatment of CCFs, emphasizing on the scope and outcomes of the endovascular treatment. This case supports worldwide experience, positioning endovascular therapy as an effective strategy in the resolution of CFFs, and the relevance of suspecting this disease in the presence of typical symptoms, even if they are rapidly progressive.
摘要：
颈动脉-海绵窦瘘（CCF）是一种误诊的疾病，有潜在的功能反应，神经学,以及这种疾病患者的社会角色。较早的报告对症状缓解的血管内治疗的有效性和安全性进行了适当的评价。我们介绍了一个来自发展中国家的男性患者，在存在颅内高压和眼部症状的情况下，有枪伤头部外伤史和短期进行性功能和神经功能缺损，并出现了大的CFF，随后经桡动脉栓塞治疗。我们旨在描述CCF诊断和治疗的现实世界经验，强调血管内治疗的范围和结果。这个案例支持全球经验，将血管内治疗定位为解决CFFs的有效策略，以及在存在典型症状的情况下怀疑这种疾病的相关性，即使他们进步很快。
