Document Detail

Rare dural arteriovenous fistula of the lesser sphenoid wing sinus.
MedLine Citation:
PMID:  19966661     Owner:  NLM     Status:  MEDLINE    
A fistula of the lesser sphenoid wing sinus is a rare dural arteriovenous fistula resulting from a connection between the middle meningeal artery and recipient vein in the sinus of the lesser sphenoid wing. In this report, MRI/magnetic resonance angiography of a 54-year-old man who presented with sudden-onset glaucoma and proptosis revealed a fistula in this anatomic location. Drainage patterns here may account for the absence of serious complications and optimistic prognosis following embolization. Care in diagnosis is required to avoid superfluous procedures, because classic signs of the more common carotid-cavernous fistula are absent.
Nicole M Khadavi; Ronald Mancini; Tanuj Nakra; Angelo C Tsirbas; Raymond S Douglas; Robert A Goldberg; Gary R Duckwiler
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  25     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-12-07     Completed Date:  2010-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  404-6     Citation Subset:  IM    
David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California 90095, USA.
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MeSH Terms
Central Nervous System Vascular Malformations / diagnosis*,  therapy
Cerebral Angiography
Dimethyl Sulfoxide / administration & dosage
Embolization, Therapeutic / methods
Exophthalmos / diagnosis
Glaucoma / diagnosis
Magnetic Resonance Angiography
Meningeal Arteries / abnormalities*
Middle Aged
Polyvinyls / administration & dosage
Sphenoid Sinus / abnormalities*
Veins / abnormalities
Reg. No./Substance:
0/Onyx copolymer; 0/Polyvinyls; 67-68-5/Dimethyl Sulfoxide

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

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