Normalisation of ocular pulse amplitude after embolisation of dural cavernous sinus arteriovenous fistula.

Abstract:

BACKGROUND:The difference in the ocular pulse amplitude between an individual's eyes may reflect abnormalities of the cerebrovascular circulation and has been shown to be helpful in assessing patients with cavernous sinus arteriovenous fistulas. HISTORY AND SIGNS:A 71-year-old woman presented with episcleral injection, proptosis, bruit and retro-orbital pain on the left side. Ocular pulse amplitude as measured by dynamic contour tonometry was 4.38 +/- 1.23 mm Hg in the right and 9.57 +/- 2.71 mm Hg in the left eye. Angiography revealed the haemodynamics of a dural left cavernous sinus arteriovenous fistula. THERAPY AND OUTCOME:Successful occlusion of the fistula was performed by transvenous embolisation. After embolisation, ocular pulse amplitude was 2.84 +/- 0.60 mm Hg in the right and 1.88 +/- 0.29 mm Hg in the left eye. CONCLUSION:In this case of a dural arteriovenous fistula the ocular pulse amplitude as measured by dynamic contour tonometry parallels closely both clinical findings and neuroimaging.

journal_name

Klin Monbl Augenheilkd

authors

Kaufmann C,Thiel MA,Valavanis A,Landau K

doi

10.1055/s-2004-812855

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

431-4

issue

5

eissn

0023-2165

issn

1439-3999

journal_volume

221

pub_type

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