J Korean Ophthalmol Soc.  2000 Mar;41(3):737-743.

Clinical Characteristics of Dural Cavernous Sinus Fistula

• Jang JW
• Lee SY
• Kim SJ

Abstract

Dural shunts are vascular communications in which blood flows through small meningeal branches of the carotid arteries to enter the venous circulation near the cavernous sinus. The clinical characteristics of 13 eyes[12 patients] with dural cavernous sinus fistula are described. Of these patients, 84.6%[11 eyes]were women with dilated conjunctival and episcler-al vessels, exophthalmos, retinal hemorrhage and venous engorgement, elevation of intraocular pressure, swelling of lid and orbital area, limited eye movement and diplopia, and bruit, in order of frequency. Decreased vision had occurred in only 1 eye, due to central retinal vein obstruction during follow-up periods after embolization. CT or MRI scan showed the enlargement of the extraocular muscle and superior ophthalmic vein. Two eyes had resolved spontaneously. Ten eyes of dural cavernous sinus fistula had the resolution of clinical symptoms after carotid angiography with embolization. The complications after embolization had occurred in one eye with transient sensory deficit of face.

Keyword

Angiography; Dural cavernous sinus fistula; Embolization; Complication

MeSH Terms

Angiography
Carotid Arteries
Cavernous Sinus*
Diplopia
Exophthalmos
Eye Movements
Female
Fistula*
Follow-Up Studies
Humans
Hyperemia
Intraocular Pressure
Magnetic Resonance Imaging
Orbit
Retinal Hemorrhage
Retinal Vein
Veins