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New Delhi, April 25, 2022 :
A young male patient from Nepal had been struggling with redness and swelling in his right eye which was causing blurring of vision. Initially he was treated as an eye allergy/infection, however it was undiagnosed, leading to progressive deterioration in his condition. Subsequently he was recommended for MRI, and was referred to the Neurosciences department of Indraprastha Apollo Hospitals in New Delhi.
At Indraprastha Apollo Hospitals, under the consultation of Dr. PN Renjen, Senior Consultant Neurology, he was diagnosed with a rare neurological condition that was impacting the eye. On admission the patient reported vision blurring, pulsatile proptosis (with every heartbeat the eye would bulge out), and difficulty in conducting his day to day activities. On in-depth examination he was consulted to undergo a cerebral angiogram for better characterization of the condition. Based upon the diagnosis by the experts, the patient was found to have suffered from indirect CCF which is also known as cavernous dural arteriovenous fistula (it is the abnormal communication between the cavernous sinus and the dural arteries from the internal carotid artery and external carotid artery) which is an extremely rare neurological condition having a difficult course of treatment.
Speaking on the same by Dr. PN Renjen, Senior Consultant Neurology, Indraprastha Apollo Hospital, New Delhi said, “The young man from Nepal came to Indraprastha Apollo Hospital, New Delhi with the complaint of redness and swelling in his right eye. As he was unable to find a cure for his ongoing condition in his resident country, he was referred to Apollo’s Centre of neurology by the ophthalmological experts present there. Based on his symptoms of pulsatile proptosis we immediately conducted a cerebral angiogram and found that he was suffering from indirect CCF. As it is an extremely rare neurological condition with no direct treatment, we had to treat the patient immediately with alternate treatment modalities.
Adding to this Dr. Harsh Rastogi, Senior Consultant Neuro Intervention Radiologist at Apollo Hospital said” In this patient’s case his arterial blood was mixing with venous blood and as a reason, his eye was popping out with every heartbeat. For resolving the same, we conducted a surgery to disconnect the short-circuiting of the blood, leading to the complete resolution of the red-eye.
Both Dr. Harsh Rastogi, Senior Consultant Neuro Intervention Radiologist, Indraprastha Apollo Hospital, New Delhi and Dr. PN Renjen, Senior Consultant Neurology, Indraprastha Apollo Hospital, New Delhi said, “We are happy that our team could help this patient in restoring his visual activities in just 5 days from his admission to the completion of the surgery. The complexity of this case was to diagnose the right condition and provide aid. We are glad that the patient’s post-operative recovery has been uneventful and he is back to his home contented and satisfied.”
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