Clinical Characteristics of Dural Cavernous Sinus Fistula.
- Author:
Jae Woo JANG
1
;
Sang Yeul LEE
;
Sung Joo KIM
Author Information
1. The Institute of Vision Research.
- Publication Type:Original Article
- Keywords:
Angiography;
Dural cavernous sinus fistula;
Embolization;
Complication
- MeSH:
Angiography;
Carotid Arteries;
Cavernous Sinus*;
Diplopia;
Exophthalmos;
Eye Movements;
Female;
Fistula*;
Follow-Up Studies;
Humans;
Hyperemia;
Intraocular Pressure;
Magnetic Resonance Imaging;
Orbit;
Retinal Hemorrhage;
Retinal Vein;
Veins
- From:Journal of the Korean Ophthalmological Society
2000;41(3):737-743
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dural shunts are vascular communications in which blood flows through small meningeal branches of the carotid arteries to enter the venous circulation near the cavernous sinus. The clinical characteristics of 13 eyes[12 patients] with dural cavernous sinus fistula are described. Of these patients, 84.6%[11 eyes]were women with dilated conjunctival and episcler-al vessels, exophthalmos, retinal hemorrhage and venous engorgement, elevation of intraocular pressure, swelling of lid and orbital area, limited eye movement and diplopia, and bruit, in order of frequency. Decreased vision had occurred in only 1 eye, due to central retinal vein obstruction during follow-up periods after embolization. CT or MRI scan showed the enlargement of the extraocular muscle and superior ophthalmic vein. Two eyes had resolved spontaneously. Ten eyes of dural cavernous sinus fistula had the resolution of clinical symptoms after carotid angiography with embolization. The complications after embolization had occurred in one eye with transient sensory deficit of face.
