Abstract
A 37- year old male with a long history of a left orbital venous/lympathic malformation presented with ocular injection, increased proptosis and reduced left vision. Angiography demonstrated a carotid cavernous dural AV fistula combined with a concomitant venous/lymphatic malformation. After attempts at transvenous embolization, a direct uncomplicated transorbital puncture of the cavernous sinus via a lateral orbitotomy was performed with complete resolution of ocular symptoms.
MeSH terms
-
Adult
-
Carotid-Cavernous Sinus Fistula / complications
-
Carotid-Cavernous Sinus Fistula / diagnosis
-
Carotid-Cavernous Sinus Fistula / surgery*
-
Exophthalmos / diagnosis
-
Exophthalmos / etiology
-
Humans
-
Intracranial Arteriovenous Malformations / complications
-
Intracranial Arteriovenous Malformations / diagnosis
-
Intracranial Arteriovenous Malformations / surgery*
-
Intraocular Pressure / physiology
-
Lymphatic Abnormalities / complications
-
Lymphatic Abnormalities / diagnosis
-
Lymphatic Abnormalities / surgery*
-
Magnetic Resonance Imaging
-
Male
-
Orbital Diseases / diagnosis
-
Orbital Diseases / surgery*
-
Punctures / methods*
-
Tomography, X-Ray Computed
-
Veins / abnormalities*
-
Vision Disorders / diagnosis
-
Vision Disorders / etiology
-
Visual Acuity / physiology