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Carotid cavernous fistula. History and anatomy

  • D. Parkinson

Abstract

The parasellar compartment commonly known as the “cavernous sinus” contains a more compact complexity of gross anatomy than any other structure, a veritable anatomic jewel box. The orbit, a much larger cavity, would be its closest rival. The orbit literature fills many library shelves whereas its poorer back door neighbour barely rates and address in the library catalogue. Its printed papers over the centuries would fill no more than one small text. The discrepancy reflects the relative visibility, accessibility, and number of clinical syndromes involved. Virtually all disturbances of the “cavernous sinus” are manifested first and foremost by its prominent front door neighbour the orbit and hence described under such titles. We can be reasonably certain that the classical syndrome resulting from the carotid cavernous fistula (CCF) was noticed long before first described by Bartholow [4]. “Evil Eye Fleegle” of comic book fame [17] was unlikely the first to inspire belief that the owner of a pulsating, protruding, engorged eye (or eyes) possessed supernatural powers, evil or otherwise.

Keywords

Internal Carotid Artery Cranial Nerve Circulatory Arrest Ophthalmic Artery Venous Canal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag/Wien 1987

Authors and Affiliations

  • D. Parkinson
    • 1
  1. 1.University of ManitobaWinnipegCanada

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