Isolated bilateral abducens nerve palsy due to carotid cavernous dural arteriovenous fistula.
10.3349/ymj.1998.39.3.283
- Author:
Kyung Yul LEE
1
;
Seung Min KIM
;
Dong Ik KIM
Author Information
1. Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Carotid cavernous dural arteriovenous fistula;
abducens nerve palsy;
ophthalmoplegia
- MeSH:
Abducens Nerve/physiopathology*;
Arteriovenous Fistula/complications*;
Carotid Artery Diseases/complications*;
Case Report;
Cavernous Sinus*/radiography;
Cranial Nerve Diseases/physiopathology;
Cranial Nerve Diseases/etiology;
Dura Mater/blood supply*;
Female;
Human;
Middle Age;
Paralysis/physiopathology;
Paralysis/etiology*
- From:Yonsei Medical Journal
1998;39(3):283-286
- CountryRepublic of Korea
- Language:English
-
Abstract:
Carotid cavernous dural arteriovenous fistula (DAVF) usually presents with conjunctival injection, proptosis, loss of visual acuity and ophthalmoplegia. There have been some carotid cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We experienced a patient presenting with bilateral abducens nerve palsy and no other ocular signs who was diagnosed as carotid cavernous DAVF after conventional angiography. According to this case, carotid cavernous DAVF should be considered in the differential diagnosis of isolated bilateral abducens nerve palsy, in which case conventional angiography may be helpful in diagnosis.
