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Absence of orbito-ocular signs in dural carotid-cavernous sinus fistula with a prominent anterior venous drainage.

Abstract：

:A 55-year-old woman developed an intractable right orbitofrontal headache. The symptoms subsided spontaneously 2 months after onset, but diplopia due to right abducens nerve palsy had occurred, and gradually worsened. Orbito-ocular signs were never observed throughout the clinical course. Brain MRI and MR angiography demonstrated abnormal signal changes corresponding to the right cavernous sinus. Angiography confirmed a dural carotid-cavernous sinus fistula (CCF) with three directional drainage routes in the arterial phase. Although the most prominent draining vein was the superior ophthalmic vein (SOV), an outflow with a high flow rate into the angular facial vein prevented prolonged enhancement of the SOV in the venous phase. These findings suggest that the absence of orbito-ocular signs in dural CCF with an anterior venous drainage could be attributed to the relief of venous hypertension of the SOV.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Ikeda K,Deguchi K,Tsukaguchi M,Sasaki I,Shimamura M,Urai Y,Touge T,Kawanishi M,Takeuchi H,Kuriyama S

doi

10.1016/j.jns.2005.03.037

subject

Has Abstract

pub_date

2005-09-15 00:00:00

pages

81-4

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(05)00118-8

journal_volume

236

pub_type

杂志文章

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