A 50-year old man was treated for a rare problem of abnormal connection between an artery supplying blood to brain and vein in thebase of brain, which commonly occurs after an accident.

Marimuthu, came to Sri Ramakrishna Hospital last week with the problem of bulging
left eye with severe redness and continuous watery discharge for seven days.

Senior Consultant Neurosurgeon Dr. Murali and Dr. P. Muthurajan, Consultant Neuro and Vascular Interventional Radiologist, examined the patient and diagnosed the rare problem.

Marimuthu suffered a road traffic accident a month back, Dr. Muthurajan said in a
release, adding that if not treated, the patient’s eye swelling would progressively increase
leading to loss in vision.

For this kind of abnormal connection of blood vessels (caroticocavernous fistula),
the ideal test was catheter angiogram to study the brain vessels, which was done

on the patient and the exact location was identified, the doctor said.

“We then closed the abnormal connection between the brain vessels with platinum
coils through small pinhole in the groin (thigh) using small tubes and wire. The next day patient was normal and was pleasantly surprised as to “where the eye swelling had gone?”,
he said.

Apart from this procedure, the hospital had performed yet another endovascular
coiling (closing the ruptured brain vessel) for another patient, which was otherwise a fatal condition, Dr. Muthurajan said.