A 35-year-old man came with left sided headache since six months.
He has developed redness of the left eye over the past three months with intermittent proptosis and watering.
The internal carotid angiogram early opacification of the cavernous sinus in the arterial phase via the left meningohypophyseal trunk. The external carotid angiogram shows early opacification of the cavernous sinus via the left middle meningeal artery and accessory meningeal artery
In 1985, D.L. Barrow and his colleagues developed a classification system for carotid-cavernous fistulas (CCFs). At the time of this work, Barrow was a neurosurgeon at Emory University School of Medicine