{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T17:49:22Z","timestamp":1759600162797,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,8]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3\u2009days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. A subtle bruit was present on examination, and digital subtraction angiography revealed a right direct (type A) carotid-cavernous fistula (CCF). The patient underwent right coil embolisation of direct CCF. On follow-up at 4\u2009months, her proptosis resolved completely and extraocular movements improved.<\/jats:p>","DOI":"10.1136\/bcr-2018-227757","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T05:11:53Z","timestamp":1554181913000},"page":"e227757","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis"],"prefix":"10.1136","volume":"12","author":[{"given":"Nirupama","family":"Kasturi","sequence":"first","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Kumari","sequence":"additional","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayatri","family":"Nagarajan","sequence":"additional","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagarajan","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Radiodiagnosis, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082713131184000_12.3.e227757.1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.62.2.0248"},{"key":"2025082713131184000_12.3.e227757.2","doi-asserted-by":"publisher","DOI":"10.15274\/INR-2014-10020"},{"key":"2025082713131184000_12.3.e227757.3","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1007\/s00415-017-8657-y","article-title":"Bilateral carotid cavernous sinus fistula: a case report and review of the literature","volume":"265","author":"Docherty","year":"2018","journal-title":"J Neurol"},{"key":"2025082713131184000_12.3.e227757.4","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1159\/000443141","article-title":"Unilateral direct carotid cavernous fistula causing bilateral ocular manifestation","volume":"6","author":"Demartini","year":"2015","journal-title":"Case Rep Ophthalmol"},{"key":"2025082713131184000_12.3.e227757.5","doi-asserted-by":"publisher","DOI":"10.4103\/0974-9233.53862"},{"key":"2025082713131184000_12.3.e227757.6","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.51.214"},{"key":"2025082713131184000_12.3.e227757.7","first-page":"622","article-title":"Spontaneous resolution of direct carotid cavernous fistula","volume":"20","author":"Ishaq","year":"2010","journal-title":"J Coll Physicians Surg Pak"},{"key":"2025082713131184000_12.3.e227757.8","doi-asserted-by":"crossref","first-page":"33","DOI":"10.5693\/djo.02.2013.02.003","article-title":"Spontaneous resolution of ophthalmologic symptoms following bilateral traumatic carotid cavernous fistulae","volume":"19","author":"Gapsis","year":"2013","journal-title":"Digit J Ophthalmol"},{"key":"2025082713131184000_12.3.e227757.9","first-page":"1535","article-title":"Transarterial balloon-assisted n-butyl-2-cyanoacrylate embolization of direct carotid cavernous fistulas","volume":"27","author":"Luo","year":"2006","journal-title":"Am J Neuroradiol"},{"key":"2025082713131184000_12.3.e227757.10","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2977"},{"key":"2025082713131184000_12.3.e227757.11","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.92167"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227757","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:13:17Z","timestamp":1756325597000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227757"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,31]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-227757"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227757","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}