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so today were going to be talking about the carotid cavernous fistula Cici fistula a fistula is abnormal connection between two unlike things and in this case its between the carotid artery either the internal or external carotid artery and the cavernous sinus so it is a form of an arteriovenous fistula the artery is the carotid the vein is the venous sinus called the camera sinus and the fish still it means our terrorised blood is going to be traveling into the slow flow venous side without any intervening capillary bed so as you remember from anatomy the anatomy of the cavernous sinus here in coronal section in the wall of the dura of the cavernous sinus relatively protected are cranial nerves three four and five subdivision one in the posterior cabinet scientists will have v2 but V 3 has already left make doesnt go into the cavity sinus and goes out the foramen ovale this is the internal carotid artery and six lives free-floating in the substance of the cavernous sinuses so cran