作者： Puteri Kirana , Julius July
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摘要: A 32-year old woman presented with worsened headache for the past 2 weeks accompanied by an audible tapping sound in her right ear . She experienced signifi cant head trauma about 10 years before. Clinical examination showed a mild protrusion of eye small conjunctival chemosis. Computed Tomography Angiography (CTA) indicated giant fusiform mass at cavernous segment internal carotid artery. Cerebral Digital Subtraction revealed carotid-cavernous fi stula. The patient underwent surgery to entrap aneurysm portion from carotis artery (IC) after bifurcation, proximal ophthalmic IC. After surgery, visual acuity is preserved, and follow up CTA disappearance CCF. improves one year up.