| Spontaneous resolution of two dural carotid-cavernous fistulas presenting with optic neuropathy and marked congestive ophthalmopathy. | |
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MedLine Citation:
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PMID: 20498622 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Two patients with dural carotid-cavernous fistulas (CCFs) presented with optic neuropathy and marked congestive ophthalmopathy, including 1 patient with a narrowed anterior chamber angle due to choroidal effusions. Endovascular intervention was planned but deferred for logistic reasons. While the patients awaited the procedures, the clinical features markedly improved, and time-resolved imaging of contrast kinetics (TRICKS) MRA was consistent with closure of the CCFs. These patients serve as a reminder that spontaneous resolution may occur in dural CCFs even when presenting clinical features are florid and vision appears to be threatened. In fact, a rapid worsening of clinical manifestations may be a sign that a dural CCF is about to close spontaneously. |
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Authors:
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Mathew Bujak; Edward Margolin; Andrew Thompson; Jonathan D Trobe |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society Volume: 30 ISSN: 1536-5166 ISO Abbreviation: J Neuroophthalmol Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-06 Completed Date: 2010-12-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431308 Medline TA: J Neuroophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 222-7 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology and Visual Sciences, University of Toronto, Toronto, Ontario, Canada. edmargolin@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Carotid-Cavernous Sinus Fistula / complications*, diagnosis, surgery Cerebral Angiography / methods Endovascular Procedures / methods Female Graves Ophthalmopathy / complications*, diagnosis Humans Magnetic Resonance Angiography / methods Microscopy, Acoustic / methods Optic Nerve Diseases / complications*, diagnosis Tomography, X-Ray Computed / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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