SPONTANEOUS RESOLUTION OF SYMPTOMS IN AN INFANT WITH A CONGENITAL DURAL CAROTICOCAVERNOUS FISTULA

We report a 5-week-old boy with a congenital dural caroticocavernous f istula (CCF). He had gradually progressive proptosis, dilated conjunct ival veins, chemosis, abducens nerve palsy and an objective bruit. Ang iography of the right common carotid artery revealed fistulous communi cation in the cavernous sinus (CS) region. The CS was fed by the middl e meningeal artery and drained through the superior ophthalmic vein an d the superior petrosal vein. The child's symptoms and signs disappear ed within a few weeks and did not recur over 11 months. At that time, however, angiography still showed a small communication between the ri ght external carotid artery and the CS.