Carotid-Cavernous Sinus Fistula - Examination was notable for normal results of nasal endoscopy. However, in the left eye, he had complete ophthalmoplegia, ptosis (Panel A).Computed tomographic angiography was performed, which revealed a carotid–cavernous sinus fistula and pseudoaneurysm in the fractured sphenoid sinus (Panels B and C, arrows). #Clinical #Radiology #CarotidCavernousSinus #Fistula #NEJM