Carotid Cavernous Fistula

A carotid-cavernous fistula is an abnormal communication between the carotid artery and the veins of the cavernous sinus, creating a high-pressure, high-flow system. There is often a history of trauma. Patients may present with an audible bruit and progressive pulsatile proptosis with chemosis, restricted eye movement, and progressive visual loss in late stages (see TabM...^-^ ). The diagnosis is made by cerebral angiography, but a CT scan with contrast, MRI, or magnetic resonance angiography (MRA) may show the lesion (see T§ble.n.212n-3 and Chapter.23 ).

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Eliminating Stress and Anxiety From Your Life

Eliminating Stress and Anxiety From Your Life

It seems like you hear it all the time from nearly every one you know I'm SO stressed out!? Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.

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