Document Detail

Bilateral corkscrew episcleral veins from tricuspid incompetence.
MedLine Citation:
PMID:  8862058     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To use color Doppler imaging in examining a patient with clinically diagnosed low-flow carotid-cavernous sinus fistula and a history of rheumatic heart disease. METHOD: The flow characteristics of the orbital vessels and the internal jugular veins were studied with a 7.0-MHz transducer. RESULTS: Episodic arterialization and reversal of blood flow was demonstrated in both superior ophthalmic veins. This similar waveform was also seen in both jugular veins. CONCLUSION: The presence of tricuspid regurgitation and pulmonary hypertension caused increased episcleral venous pressure and the corkscrew appearance, which is more commonly associated with carotid-cavernous sinus fistula.
E R Fu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  122     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-11-06     Completed Date:  1996-11-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  577-8     Citation Subset:  AIM; IM    
Neuro-ophthalmic Service, Singapore National Eye Centre, Singapore.
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MeSH Terms
Arteriovenous Fistula / complications,  pathology
Blood Flow Velocity
Carotid Artery Diseases / complications,  pathology
Cavernous Sinus / pathology
Hypertension, Pulmonary / complications
Jugular Veins / ultrasonography
Middle Aged
Orbit / blood supply*
Rheumatic Heart Disease / complications
Sclera / blood supply*,  pathology*
Tricuspid Valve Insufficiency / complications*
Ultrasonography, Doppler, Color
Veins / pathology,  ultrasonography
Venous Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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