Author:
Shi Yuan,Liu Peixi,Liu Yingtao,Quan Kai,Tian Yanlong,Zhu Wei
Abstract
Abstract
Background
Dural arteriovenous fistulas (DAVF) represent almost 10–15% of intracranial malformations that cause intracranial hemorrhage and focal neurological deficits. Seldom tentorial DAVF cases present with ocular manifestations initially, which occur frequently in carotid–cavernous fistula (CCF) and cavernous sinus DAVF (CS DAVF).
Case presentation
We report an unusual falcotentorial DAVF case draining via the superior and inferior ophthalmic veins that caused left-side increased intraocular pressure. The patient’s chief complaint was swelling on the left side, pain and conjunctival congestion. He received endovascular embolization via a transarterial approach, and postoperative angiography demonstrated that the falcotentorial DAVF was occluded completely.
Conclusion
Except for CCF and CS DAVF, some specific subtypes of DAVF should be considered if the patient initially presents with ocular symptoms. Differential diagnosis and definitive treatment are mandatory to avoid a delayed diagnosis and irreversible symptoms.
Funder
The Outstanding Academic Leaders Program of Shanghai Municipal Commission of Health and Family Planning
National Natural Science Foundation of Chin
Outstanding Academic Leaders Program of Shanghai Municipal Commission of Health and Family Planning
Clinical Research Plan of SHDC
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),Neurology,Surgery
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