Spontaneous Resolution of Two Dural Carotid-Cavernous Fistulas Presenting With Optic Neuropathy and Marked Congestive Ophthalmopathy

被引：14

作者：

Bujak, Mathew ^{[1
]}

Margolin, Edward ^{[1
]}

Thompson, Andrew ^{[2
]}

Trobe, Jonathan D. ^{[3
]}

机构：

[1] Univ Toronto, Dept Ophthalmol & Visual Sci, Toronto, ON M5G 1X5, Canada

[2] Univ Toronto, Dept Med Imaging, Toronto, ON M5G 1X5, Canada

[3] Univ Michigan, Dept Ophthalmol & Neurol, Ann Arbor, MI 48109 USA

来源：

JOURNAL OF NEURO-OPHTHALMOLOGY | 2010年 / 30卷 / 03期

关键词：

SINUS FISTULA; SPONTANEOUS CLOSURE; ENDOVASCULAR MANAGEMENT; ARTERIOVENOUS-FISTULAS; RETINAL-DETACHMENT; MR-ANGIOGRAPHY; FOLLOW-UP; DIAGNOSIS; PROGNOSIS; TRICKS;

D O I：

10.1097/WNO.0b013e3181ceb483

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Two patients with dural carotid-cavernous fistulas (CCFs) presented with optic neuropathy and marked congestive ophthalmopathy, including 1 patient with a narrowed anterior chamber angle due to choroidal effusions. Endovascular intervention was planned but deferred for logistic reasons. While the patients awaited the procedures, the clinical features markedly improved, and time-resolved imaging of contrast kinetics (TRICKS) MRA was consistent with closure of the CCFs. These patients serve as a reminder that spontaneous resolution may occur in dural CCFs even when presenting clinical features are florid and vision appears to be threatened. In fact, a rapid worsening of clinical manifestations may be a sign that a dural CCF is about to close spontaneously. Journal of Neuro-Ophthalmology 2010;30:222-227 doi: 10.1097/WNO.0b013e3181ceb483 (C) 2010 by North American Neuro-Ophthalmology Society

引用

页码：222 / 227

页数：6

共 32 条

[1] Spontaneous resolution of bilateral traumatic carotid cavernous fistulas and development of trans-sellar intercarotid vascular communication: Case report [J].

Alkhani, A ;

Willinsky, R ;

TerBrugge, K .

SURGICAL NEUROLOGY, 1999, 52 (06) :627-629

[2] NEUROOPHTHALMIC FEATURES OF CAROTID CAVERNOUS FISTULAS AND THEIR TREATMENT BY ENDOARTERIAL BALLOON EMBOLIZATION [J].

BROSNAHAN, D ;

MCFADZEAN, RM ;

TEASDALE, E .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1992, 55 (07) :553-556

[3] Serous retinal detachment following carotid-cavernous fistula [J].

Choi, H-Y ;

Newman, N. J. ;

Biousse, V. ;

Hill, D. C. ;

Costarides, A. P. .

BRITISH JOURNAL OF OPHTHALMOLOGY, 2006, 90 (11) :1440-1440

[4] Risk of cerebral angiography in patients with subarachnoid hemorrhage, cerebral aneurysm, and arteriovenous malformation - A meta-analysis [J].

Cloft, HJ ;

Joseph, GJ ;

Dion, JE .

STROKE, 1999, 30 (02) :317-320

[5] Traumatic carotid-cavernous sinus fistula with spontaneous resolution [J].

Ferrera, PC .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1997, 15 (04) :386-388

[6] CONCURRENT ACUTE ANGLE-CLOSURE GLAUCOMA, CHOROIDAL DETACHMENT AND EXUDATIVE RETINAL-DETACHMENT IN A PATIENT WITH SPONTANEOUS CAROTID-CAVERNOUS FISTULA [J].

FUJITANI, A ;

HAYASAKA, S .

OPHTHALMOLOGICA, 1995, 209 (04) :220-222

[7] CAROTID CAVERNOUS FISTULAS - INDICATIONS FOR URGENT TREATMENT [J].

HALBACH, VV ;

HIESHIMA, GB ;

HIGASHIDA, RT ;

REICHER, M .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1987, 149 (03) :587-593

[8] DURAL FISTULAS INVOLVING THE CAVERNOUS SINUS - RESULTS OF TREATMENT IN 30 PATIENTS [J].

HALBACH, VV ;

HIGASHIDA, RT ;

HIESHIMA, GB ;

REICHER, M ;

NORMAN, D ;

NEWTON, TH .

RADIOLOGY, 1987, 163 (02) :437-442

[9]

HAUGEN OH, 1990, ACTA OPHTHALMOL, V68, P743

[10] Noninvasive dynamic magnetic resonance angiography with time-resolved Imaging of contrast KineticS (TRICKS) in the evaluation of orbital vascular lesions [J].

Kahana, Alon ;

Lucarelli, Mark J. ;

Grayev, Allison M. ;

Van Buren, Jeremy J. ;

Burkat, Cat N. ;

Gentry, Lindell R. .

ARCHIVES OF OPHTHALMOLOGY, 2007, 125 (12) :1635-1642

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