case_images: PMC11414464_01
case_images: Axial CT scan showing a bifocal mandibular fracture with displacement.
case_images: jbsr-108-1-3696-g1.jpg
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case_images: F1
case_images: CT showed a bifocal mandibular fracture and a left C1 fracture (Figs. 1-3), without intracranial bleeding, treated surgically.
case_images: 3D CT reconstruction showing a bifocal mandibular fracture with displacement.
case_images: jbsr-108-1-3696-g2.jpg
case_images: PMC11414464_01_jbsr-108-1-3696-g2.jpg
case_images: F2
case_images: CT showed a bifocal mandibular fracture and a left C1 fracture (Figs. 1-3), without intracranial bleeding, treated surgically.
case_images: Axial CT scan (bone window) showing a non-displaced fracture of the left anterior arch of the C1 vertebra.
case_images: jbsr-108-1-3696-g3.jpg
case_images: PMC11414464_01_jbsr-108-1-3696-g3.jpg
case_images: F3
case_images: CT showed a bifocal mandibular fracture and a left C1 fracture (Figs. 1-3), without intracranial bleeding, treated surgically.
case_images: CT angiography showing early opacification of the cavernous sinuses.
case_images: jbsr-108-1-3696-g4.jpg
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case_images: F4
case_images: CT angiography showing dilatation of the superior ophthalmic veins.
case_images: jbsr-108-1-3696-g5.jpg
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case_images: F5
case_images: MR angiography showing dilatation of the superior ophthalmic veins.
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case_images: F7
case_images: MR angiography confirmed bilateral CCFs, showing enlarged, arterialized superior ophthalmic veins (Fig. 7), a direct arteriovenous fistula on the right (Fig. 8), and dilated leptomeningeal veins (Fig. 9).
case_images: Axial T2 and post-contrast T1 weighted images showing dilatation of the leptomeningeal veins in the left cerebellar hemisphere, indicating abnormal venous drainage.
case_images: jbsr-108-1-3696-g9.jpg
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case_images: F9
case_images: MR angiography confirmed bilateral CCFs, showing enlarged, arterialized superior ophthalmic veins (Fig. 7), a direct arteriovenous fistula on the right (Fig. 8), and dilated leptomeningeal veins (Fig. 9).
case_images: FLAIR and post-contrast T1 weighted images showing a hemorrhagic lesion in the right anterior pontine region, with surrounding edema and contrast enhancement, indicative of venous infarction.
case_images: jbsr-108-1-3696-g10.jpg
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case_images: F10
case_images: A hemorrhagic lesion in the right anterior pontine region suggested venous infarction (Fig. 10).
case_images: Pre-treatment Digital Subtraction Angiography (DSA) showing bilateral carotid-cavernous fistulas (CCFs), followed by post-treatment images demonstrating successful occlusion of the CCF.
case_images: jbsr-108-1-3696-g11.jpg
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case_images: F11
case_images: Sixteen coils nearly occluded the fistula, leaving a slight shunt (Fig. 11).
case_images: MR Angiography showing the presence of a residual fistula following treatment.
case_images: jbsr-108-1-3696-g12.jpg
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case_images: F12
case_images: Follow-up MRI revealed a 3-mm residual shunt (Fig. 12), complete vein regression, and reduced edema around the hemorrhagic lesion (Fig. 13).
case_images: Digital Subtraction Angiography showing complete obliteration of the carotid-cavernous fistula (CCF), indicating successful treatment.
case_images: jbsr-108-1-3696-g14.jpg
case_images: PMC11414464_01_jbsr-108-1-3696-g14.jpg
case_images: F14
case_images: DSA confirmed complete fistula obliteration (Fig. 14).