양측 경질막 목동맥해면정맥동루에 의한 편측 외전신경마비
Unilateral Abducens Nerve Palsy due to Bilateral Dural Carotid Cavernous Fistula
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Dural carotid-cavernous fistula (CCF) is characterized by arteriovenous communications between the meningeal branches of the internal or external carotid arteries and the cavernous sinus. Although the triad of chemosis, proptosis, and ocular bruit has been regarded as a classic sign of CCF, dural CCF often lacks these features. Dural CCF is a rare cause of ophthalmoplegia, and so it may be overlooked when the classic symptoms are absent. We report herein a case of bilateral dural CCF that presented as unilateral isolated abducens nerve palsy.
Abstract
Dural carotid-cavernous fistula (CCF) is characterized by arteriovenous communications between the meningeal branches of the internal or external carotid arteries and the cavernous sinus. Although the triad of chemosis, proptosis, and ocular bruit has been regarded as a classic sign of CCF, dural CCF often lacks these features. Dural CCF is a rare cause of ophthalmoplegia, and so it may be overlooked when the classic symptoms are absent. We report herein a case of bilateral dural CCF that presented as unilateral isolated abducens nerve palsy.
참고문헌 (9)
- Barrow DL, "Classification and treatment of spontaneous carotid-cavernous sinus fistula", J Neurosurg, 62, pp.248~256 (1985)
- Chaudhary MY, "Dural arteriovenous malformation of the major venous sinuses: an acquired lesion", AJNR Am J Neuroradiol, 3, pp.13~19 (1982)
- Eggenberger E, "Rosenwasser R. A bruital headache and double vision", Surv Ophthalmol, 45, pp.147~153 (2000)
- Grove AS Jr, "The dural shunt syndrome. Pathophysiology and clinical course", Ophthalmology, 91, pp.31~44 (1983)
- Kwak YT, "Two cases of oculomotor nerve palsy due to dural carotid cavernous fistula", J Korean Neurol Assoc, 13, pp.646~650 (1995)
- Koh IS, "Unilateral isolated trochlear Nerve palsy due to bilateral dural carotid-cavernous sinus fistulas", J Korean Neurol Assoc, 15, pp.644~649 (1997)
- Umansky F, "Dorello’s canal. A microanatomical study", J Neurosurg, 75, pp.294~298 (1991)
- Lasjaunias P, "Neurological manifestations of intracranial dural arteriovenous malformations", J Neurosurg, 64, pp.724~730 (1986)
- Halbach VV, "Transvenous embolization of dural fistula involving the cavernous sinus", AJNR Am J Neuroradiol, 10, pp.377~383 (1989)