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

[31] Magnetic resonance angiographic demonstration of carotid-cavernous fistula using elliptical centric time resolved imaging of contrast kinetics (EC-TRICKS) [J].

Vattoth, Surjith ;

Cherian, Jigimon ;

Pandey, Tarun .

MAGNETIC RESONANCE IMAGING, 2007, 25 (08) :1227-1231

[32] SPONTANEOUS OCCLUSION OF A BILATERAL CAROTICOCAVERNOUS FISTULA STUDIED BY SERIAL ANGIOGRAPHY [J].

VOIGT, K ;

SAUER, M ;

DICHGANS, J .

NEURORADIOLOGY, 1971, 2 (04) :207-&

← 1 2 3 4 →