Spontaneous arteriovenous fistula of the orbit: case report

Hamada, Jun Ichiro; Morioka, Motohiro; Kai, Yutaka; Sakurama, Tomotaka; Kuratsu, Jun Ichi

doi:10.1016/j.surneu.2005.03.043

Cited by 33 publications

(36 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Alternative treatment strategies include embolization followed by resection 10 or surgery alone. 4,14 The standard treatment is not well established due to the rarity of these lesions, but transvenous embolization with coils, oxidized cellulose (Surgicel, Ethicon), or Onyx 7 has been most frequently reported with satisfactory outcomes. In our patient, the angiogram demonstrated both the orbital LVM with venous outflow drainage to systemic circulation and an orbital AVF; therefore, a combination of treatments was used.…”

Section: Discussionmentioning

confidence: 99%

Orbital lymphatic-venous malformation with concomitant spontaneous orbital arteriovenous fistula: case report

Putthirangsiwong¹,

Selva

Chokthaweesak³

et al. 2018

Journal of Neurosurgery: Pediatrics

View full text Add to dashboard Cite

The authors describe the case of an 11-year-old boy with no history of prior trauma, who experienced acute proptosis and visual loss while showering. Diagnostic carotid artery angiography revealed an orbital lymphatic-venous malformation (LVM) concomitant with an intraorbital arteriovenous fistula. The patient was treated with transvenous coil and N-butyl cyanoacrylate glue embolization, combined with direct percutaneous glue injection into the LVM followed by excision. There was good clinical and radiological response without recurrence at the 2-year follow-up. Diagnostic carotid angiography should be considered in cases of orbital LVM, as a concomitant arteriovenous fistula might be present in rare cases.

show abstract

Section: Discussionmentioning

confidence: 99%

Orbital lymphatic-venous malformation with concomitant spontaneous orbital arteriovenous fistula: case report

Putthirangsiwong¹,

Selva

Chokthaweesak³

et al. 2018

Journal of Neurosurgery: Pediatrics

View full text Add to dashboard Cite

show abstract

“…The drainage route of intraocular DAVFs involves only the SOV and subsequent flow into the CS. 2,20,21 Although the fistulous points of intraocular DAVFs are not identified in the optic nerve sheath in all cases, Piske and Lasjaunias reported that DAVFs situated along the optic nerve may be quite similar to conventional intracranial meningeal arteriovenous shunts because the optic nerve is contained within an arachnoid and dural sheath. 2 In conclusion, greater wing DAVFs should be considered during the differential diagnosis of CS DAVFs.…”

Section: Discussionmentioning

confidence: 99%

Unique Venous Drainage of a Sphenoid Wing Dural Arteriovenous Fistula with Ocular Symptoms

et al. 2017

View full text Add to dashboard Cite

Dural arteriovenous fistulas (DAVFs) presenting with ocular symptoms, such as exophthalmos and chemosis, are commonly situated in cavernous sinus (CS). DAVFs at the sphenoid wing with a drainage route into the superior orbital vein (SOV) should be considered as one of differential diagnosis of ocular symptoms. A 41-year-old woman presented with progressive left-sided chemosis and proptosis after left pulsating tinnitus that disappeared spontaneously. Cerebral angiography showed that the fistula was situated along the inferior edge of the superior orbital fissure on the greater sphenoid wing and drained solely into the SOV without flowing into the CS that caused ocular symptoms. Transvenous selective catheterization was performed via the facial vein and SOV. The fistula was then embolized using detachable coils. After embolization, the ocular symptoms resolved, and the patient was discharged without neurological deficit. Herein, we discuss the developmental mechanism of the unique drainage pattern, including the clinical symptoms and anatomical features of greater sphenoid wing DAVFs.

show abstract

“…[1][2][3][4][5][6][7][8][9][10][11][12][13] The clinical presentation of an intraorbital AVF is indistinguishable from that of a CCF with predominantly ocular findings. These patients manifest with symptoms related to ocular venous congestion, including chemosis, exophthalmos, loss of visual acuity, and extraocular motor paresis.…”

Section: Discussionmentioning

confidence: 99%