Dural Arteriovenous Fistula of the Cavernous Sinus Presenting with Progressive Venous Congestion of the Pons and Cerebrum: Report of one case.
- Author:
Soo Bin YIM
1
;
Jong Sung KIM
;
Yang KWON
;
Choong Gon CHOI
Author Information
1. Department of Neurology, University of Ulsan college of Medicine, Asan Medical Center.
- Publication Type:Case Report
- Keywords:
Dural arteriovenous fistula of the cavernous sinus, Venous congestion or Brainstem edema, Angiography
- MeSH:
Abducens Nerve Diseases;
Basal Ganglia;
Brain;
Brain Neoplasms;
Carotid Arteries;
Cavernous Sinus*;
Central Nervous System Vascular Malformations*;
Cerebrum*;
Demyelinating Diseases;
Estrogens, Conjugated (USP);
Female;
Follow-Up Studies;
Hippocampus;
Humans;
Hyperemia*;
Infarction;
Magnetic Resonance Imaging;
Middle Aged;
Pons*
- From:Journal of the Korean Neurological Association
2001;19(5):520-525
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 61-year-old woman with a left cavernous sinus dural arteriovenous fistula presented with left 6th nerve palsy. Initial brain MRI showed findings consistent with left-sided pontine infarction. Follow-up MRIs revealed an enlarged pontine lesion, and additional lesions in the right hippocampus, both basal ganglia and centrum semiovale mimicking a brain tumor or a demyelinating disease. We suggest that the MRI lesions are venous congestions caused by the shunting of blood flow from the left carotid artery into the venous system. (J Korean Neurol Assoc 19(5):520~525, 2001)