J Korean Bal Soc.  2006 Dec;5(2):296-298.

Specific MRI and MRA findings of Dural Carotid Cavernous Sinus Fistula:A Case Report

Affiliations
  • 1Department of Neurology, College of Medicine, Soonchunhyang University, Bucheon, Korea. sungkb@schbc.ac.kr
  • 2Department of Radiology, College of Medicine, Soonchunhyang University, Bucheon, Korea.

Abstract

Dural carotid-cavernous sinus fistula (d-CCF) is a rare cause of ophthalmoplegia, and it may be overlooked when the prominent external orbito-ocular sign is lacking. Conventional angiography is the gold standard in the diagnosis of d-CCF. Recently, the specific MR findings of d-CCF have increasingly been reported. We report a patient with spontaneous d-CCF presenting with an isolated fourth-nerve palsy in whom magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated d-CCF.

Keyword

Carotid cavernous sinus fistula; Ophthalmoplegia; Angiography; Magnetic resonance imaging; Magnetic resonance angiography

MeSH Terms

Angiography
Carotid-Cavernous Sinus Fistula
Cavernous Sinus*
Diagnosis
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging*
Ophthalmoplegia
Paralysis
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