Venous anastomotic circle, multiple varices and oculomotor palsy--a rare coincidence.

Abstract:

:Oculomotor nerve palsy due to a venous varix arising from flow anomalies caused by a dural arteriovenous fistula (AVF) is a rare phenomenon. We report a case of surgical third nerve palsy with a rare underlying AVF as the cause and discuss in detail the patho-anatomy and its significance. A tentorial dural AVF mimicking the arterial circle was found with multiple varix formation causing compressive oculomotor palsy. This was treated successfully with Onyx™ injection with a satisfactory angiographic result and complete resolution of symptoms.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Mukerji N,Cahill J,Tzerakis N,Nath FP,Dervin JE

doi

10.1007/s00701-010-0819-y

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

2205-9

issue

12

eissn

0001-6268

issn

0942-0940

journal_volume

152

pub_type

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