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Association With Bilateral Carotid Rete Mirabile and Unilateral Carotid-Cavernous Sinus Fistula

Ernesto N. Rios-Montenegro, MD; Myles M. Behrens, MD; William F. Hoyt, MD

Arch Neurol. 1972;26(2):151-155.

Abstract
Pseudoxanthoma elasticum in a 20-year-old man was complicated by right-sided proptosis, conjunctival vascular dilation, and subretinal bleeding from preexisting angioid streaks. Angiography showed multiple anomalies of major systemic arteries, including bilateral carotid rete mirabile and right carotid-cavernous sinus fistula. Electrothrombosis of the right cavernous sinus obliterated the fistula, restored cerebral perfusion by the right carotid system, and promoted prompt resolution of the presenting signs.

Author Affiliations
San Francisco

From the Neuro-ophthalmology Unit, departments of ophthalmology, neurology, and neurological surgery, University of California, San Francisco. Dr. Rios-Montenegro is now with the Department of Ophthalmology, Universidad Nacional Mayor de San Marcos, Lima, Peru. Dr. Behrens is now with the Neuro-ophthalmology Unit, Department of Ophthalmology, Columbia Presbyterian Medical Center, New York. Dr. Rios-Montenegro is a fellow in neuro-ophthalmology, and Dr. Behrens is a Heed fellow in neuro-ophthalmology.

Footnotes
Accepted for publication Aug 12, 1971.

Reprint requests to Department of Neurological Surgery, University of California, San Francisco 94122 (Dr. Hoyt).

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