Carotid Cavernous Fistulae (CCF)
Carotid Cavernous Fistulae are abnormal connections between arteries and veins located behind the eye. This condition causes high-pressure arterial blood to flow directly into the venous system, leading to increased pressure around the eye and brain structures.
Common Symptoms
Patients may experience:
Redness of the eye
Bulging or protrusion of the eye (Proptosis)
Pain or heaviness around the eye
Swelling around the eyelids
Blurred or double vision
Headache or eye discomfort
Common Symptoms
Patients may require treatment if they have:
Redness of the eye
Bulging or protrusion of the eye (Proptosis)
Pain or heaviness around the eye
Swelling around the eyelids
Blurred or double vision
Pulsating sensation in the eye
Headache or eye discomfort
These symptoms occur due to increased blood flow and venous pressure in the cavernous sinus and ophthalmic veins.
Advanced Treatment Options
Modern minimally invasive neurovascular treatments may include:
Direct puncture embolization
Transarterial embolization
Transvenous embolization
Injection of embolic agents (NBCA/sclerosants)
Surgical excision in selected cases
These techniques help reduce blood flow to the lesion while preserving surrounding scalp tissue and improving cosmetic appearance.
Why Early Treatment Matters
Early treatment helps prevent:
Progressive enlargement
Cosmetic disfigurement
Pain and headaches
Rare bleeding complications
Dr. Sukalyan Purkayastha provides advanced minimally invasive neurovascular treatment for Cirsoid Aneurysm with a focus on precision, safety, cosmetic outcome, and long-term patient care.
Therapy / Treatment
Treatment aims to block abnormal blood flow between scalp arteries and veins.
Direct puncture embolization may be used to close the abnormal vascular channels.
Transarterial or transvenous embolization may be added in selected cases.
Surgery may be considered when needed for cosmetic correction or complete removal.
Early treatment can reduce swelling, pain, pulsation, and cosmetic deformity.
FAQs
No. It usually affects scalp blood vessels, not the brain itself.
Yes. It may gradually enlarge, especially after trauma or hormonal changes.
A pulsating scalp swelling is one of the most common symptoms.