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Here, we present a clinical case of isolated abducens nerve palsy due to a high-flow CCF in an 84-year-old woman, without the typical congestive orbito-ocular features. It was a diagnostic challenge because, for patients older than 50\u2009years with cardiovascular risk factors, ischaemic mononeuropathy is the most frequent aetiology. This case illustrates the least common type of CCF that can be easily misdiagnosed. Physicians should consider fistula as a possible diagnosis in a patient with isolated abducens nerve palsy even without the classic triad.<\/jats:p>","DOI":"10.1177\/14782715241246572","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T04:48:35Z","timestamp":1713415715000},"page":"144-148","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["High-flow carotid cavernous fistula and \u2018white eye\u2019: A rare and easily misdiagnosed presentation \u2013 A case report and literature review"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6902-1545","authenticated-orcid":false,"given":"Francisco","family":"Caiza-Zambrano","sequence":"first","affiliation":[{"name":"Department of Neurology, Hospital Brit\u00e1nico de Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn","family":"G\u00f3mez 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