Yonsei Med J.  1998 Jun;39(3):283-286. 10.3349/ymj.1998.39.3.283.

Isolated bilateral abducens nerve palsy due to carotid cavernous dural arteriovenous fistula

• Lee KY
• Kim SM
• Kim DI

• KMID: 711559
• DOI: http://doi.org/10.3349/ymj.1998.39.3.283

Abstract

Carotid cavernous dural arteriovenous fistula (DAVF) usually presents with conjunctival injection, proptosis, loss of visual acuity and ophthalmoplegia. There have been some carotid cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We experienced a patient presenting with bilateral abducens nerve palsy and no other ocular signs who was diagnosed as carotid cavernous DAVF after conventional angiography. According to this case, carotid cavernous DAVF should be considered in the differential diagnosis of isolated bilateral abducens nerve palsy, in which case conventional angiography may be helpful in diagnosis.

Keyword

Carotid cavernous dural arteriovenous fistula; abducens nerve palsy; ophthalmoplegia

MeSH Terms

Abducens Nerve/physiopathology*
Arteriovenous Fistula/complications*
Carotid Artery Diseases/complications*
Case Report
Cavernous Sinus*/radiography
Cranial Nerve Diseases/physiopathology
Cranial Nerve Diseases/etiology
Dura Mater/blood supply*
Female
Human
Middle Age
Paralysis/physiopathology
Paralysis/etiology*