Isolated trochlear nerve palsy secondary to dural carotid-cavernous sinus fistula

J Neuroophthalmol. 1994 Mar;14(1):52-4.


Ophthalmoplegia associated with dural carotid-cavernous sinus fistula typically involves the third, fourth, and sixth cranial nerves. Occasionally, isolated palsy of the oculomotor or abducens nerve is noted. We report a patient with bilateral dural carotid-cavernous sinus fistulas who presented with an isolated trochlear nerve palsy.

Publication types

  • Case Reports

MeSH terms

  • Arteriovenous Fistula / complications*
  • Arteriovenous Fistula / therapy
  • Carotid Artery Diseases / complications*
  • Carotid Artery Diseases / therapy
  • Carotid Artery, Internal
  • Cavernous Sinus*
  • Cranial Nerve Diseases / etiology
  • Dura Mater / blood supply
  • Embolization, Therapeutic
  • Female
  • Humans
  • Middle Aged
  • Ophthalmoplegia / etiology
  • Paralysis / etiology*
  • Trochlear Nerve*