Recovery of opthalmoplegia associated with cavernous sinus dural arteriovenous fistulas after transvenous cavernous sinus packing

被引：4

作者：

Lv, Xianli ^{[1
]}

Jiang, Chuhan ^{[1
]}

Li, Youxiang ^{[1
]}

Yang, Xinjian ^{[1
]}

Wu, Zhongxue ^{[1
]}

机构：

[1] Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Beijing, Peoples R China

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 2010年 / 75卷 / 02期

关键词：

Arteriovenous fistula; Cavernous sinus; Dural; EMBOLIZATION; COMPLICATIONS; ONYX;

D O I：

10.1016/j.ejrad.2009.04.020

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Background: We report the recovery of ophthalmoplegia in 11 patients with cavernous sinus dural arteriovenous fistula (CSDAVF) after sinus packing at follow-up. Methods: Of 18 patients with CSDAVF treated with transvenous cavernous sinus packing between August 2002 and December 2007 at Beijing Tiantan Hospital, there were 9 patients with initial CNIII or CNVI dysfunction and 2 patients with CNVI dysfunction immediately after cavernous sinus packing selected and reevaluated. Results: Of 11 patients with CNIII or CNVI palsy, recovery was complete in 10. In 1 patient, complete CNVI palsy was unchanged because the CSDAVF was not cured. There were 6 men and 5 women with a mean age of 52.9 years. In 5 patients, CNVI palsy was associated with chemosis, proptosis and pulsatile tinnitus. Timing of treatment after onset of symptoms was from 4 to 35 days in 9 patients. All CSDAVFs were Barrow type D. Mean follow-up after treatment was 17.7 months (range, 2-54 months). Conclusion: CSDAVF-induced CNIII or CNVI palsies can be cured after cavernous sinus packing transvenously in most patients. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

引用

页码：139 / 142

页数：4