A rare case of traumatic arteriovenous fistula between middle meningeal artery and spheno parietal sinus who presented with only chronic red eye and literature review
- Author:
SengFai Tang
;
WeiLoon Ng
;
Umi Kalthum Mohd Noh
;
Bastion Mae-Lynn Catherine
;
Shahizon Azura Muhamed Mukari
;
Hazlita Mohd Isa
- Publication Type:Case Reports
- MeSH:
Arteriovenous Fistula
- From:Neurology Asia
2016;21(1):97-100
- CountryMalaysia
- Language:English
-
Abstract:
Traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement is very rare.
It is usually associated with skull fracture and intracranial hemorrhage. Ocular manifestation as sole
presentation is extremely rare and only a few cases have been reported. We report a case of traumatic
middle meningeal arteriovenous fistula with sphenoparietal sinus involvement 2 months after head
trauma, presenting with left eye redness and dilated corkscrew episcleral vessel. CT scan showed venous
out flow disturbance of the cavernous sinus with dilated ophthalmic veins. Transarterial endovascular
embolisation of the fistula was done successfully; clinical and 6 months MRA resolution was noted.
In conclusion, patient with traumatic middle meningeal arteriovenous fistula into the sphenoparietal
sinus can present solely with subtle ocular symptoms. Transarterial endovascular embolisation is an
effective procedure to close the fistula as seen in this case
- Full text:P020160405428445984564.pdf
