scholarly journals Isolated abducens palsy of advanced age: a rare presentation of dural carotid cavernous fistula: a case report

2018 ◽  
Vol 29 ◽  
Author(s):  
Dilek Yilmaz ◽  
Asli Akyol Gurses ◽  
Koray Akkan ◽  
Yusuf Oner ◽  
Erhan Ilgit ◽  
...  
2021 ◽  
pp. 014556132110303
Author(s):  
Noah Shaikh ◽  
Anthony Leonard ◽  
Caitlyn Patton ◽  
SoHyun Boo ◽  
John Nguyen ◽  
...  

Significance Statement This case report demonstrates a novel approach to treating a rare indirect carotid cavernous fistula (CCF) and associated abducens palsy. Although endovascular treatment is the standard of care in the management of CCFs, it was contraindicated in this patient. Instead, she underwent an endoscopic endonasal approach (EEA) with decompression of the medial orbital apex, including the cavernous sinus and optic nerve, with complete resolution of headache, lateral gaze palsy, and diplopia within 2 months.


2003 ◽  
Vol 43 (5) ◽  
pp. 255-258 ◽  
Author(s):  
Hidetoshi MURATA ◽  
Takeshi KUBOTA ◽  
Masao MURAI ◽  
Hiroshi KANNO ◽  
Satoshi FUJII ◽  
...  

2015 ◽  
Vol 14 (3) ◽  
pp. 118-123
Author(s):  
Nigel CS Lim ◽  
Hazel Anne Lin ◽  
Kok Kee Tang ◽  
Cheng Kang Ong ◽  
Gangadhara Sundar

In this case report, we present a patient with Type B dural carotid-cavernous fistula (CCF), who had failed cannulation via the transfemoral route and subsequently underwent CCF occlusion via the anterior orbital approach through the superior ophthalmic vein (SOV). Successful occlusion of CCF was achieved, with excellent visual and cosmetic outcomes postoperatively. When all venous routes have been exhausted, the SOV approach is an excellent and viable alternative in the treatment of dural CCFs. Close cooperation between the orbital and neuro-interventional teams in a hybrid operating theatre setting is essential in ensuring success of the operation.


2018 ◽  
Vol 55 (3) ◽  
pp. e75-e76
Author(s):  
Nicholas M. McManus ◽  
Ryan P. Offman ◽  
Tammy L. Provatas ◽  
Erik E. Sievertsen

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