scholarly journals Posterior-draining dural carotid cavernous fistulae: a possible cause of computed tomographic angiography negative isolated third nerve palsy

2011 ◽  
Vol 1 (4) ◽  
pp. 110
Author(s):  
George Wong ◽  
Simon Chun Ho Yu ◽  
Wai Sang Poon
Keyword(s):  
Nerve Palsy ◽  
Venous Drainage ◽  
Computed Tomographic Angiography ◽  
Third Nerve Palsy ◽  
Computed Tomographic ◽  
Persistent Symptoms ◽  
Non Invasive ◽  
Neurological Presentation ◽  
Tomographic Angiography ◽  
Third Nerve

Computed tomographic angiography (CTA) is a well-established non-invasive investigation for this neurological presentation to exclude intracranial aneurysms. However, dural arteriovenous fistulae with anterograde venous drainage only can be missed by CTA. Here we reported two patients with painful complete third nerve palsy and dural carotid cavernous fistulae with anterograde venous drainage only missed by CTA. The natural history and management option are discussed. In patients with persistent symptoms or without vasculopathic risk factors, magnetic resonance angiography (MRA) or digital subtraction angiography (DSA) should be considered to exclude the diagnosis.

Multidetector Computed Tomographic Angiography in Isolated Third Nerve Palsy

Ophthalmology ◽  
2008 ◽  
Vol 115 (8) ◽  
pp. 1411-1415 ◽  
Author(s):  
Manu R.K. Mathew ◽  
Evelyn Teasdale ◽  
Robert M. McFadzean
Keyword(s):  
Nerve Palsy ◽  
Computed Tomographic Angiography ◽  
Third Nerve Palsy ◽  
Computed Tomographic ◽  
Tomographic Angiography ◽  
Third Nerve

The Role of Non-Invasive Computed Tomography in Patients with Suspected Dural Fistulas with Spinal Drainage

Neurosurgery ◽  
2006 ◽  
Vol 58 (4) ◽  
pp. 686-694 ◽  
Author(s):  
Peter Zampakis ◽  
Celestine Santosh ◽  
William Taylor ◽  
Evelyn Teasdale
Keyword(s):  
Three Dimensional ◽  
Standard Technique ◽  
Venous Drainage ◽  
Computed Tomographic Angiography ◽  
Feeding Artery ◽  
Spinal Dural Arteriovenous Fistula ◽  
Dural Fistula ◽  
Computed Tomographic ◽  
Non Invasive ◽  
Tomographic Angiography

Abstract OBJECTIVE: Accurate diagnosis and demonstration of the angioarchitecture and localization of a spinal dural arteriovenous fistula is of crucial importance before treatment. Selective spinal angiography (DSA) has been considered the standard technique, but is invasive, time-consuming, and may be falsely negative. This report evaluates the use of noninvasive vascular imaging (computed tomographic and magnetic resonance angiography [MRA]) in patients suspected to have a dural fistula with spinal drainage. METHOD: Ten consecutive patients had DSA and multidetector computed tomographic angiography (MDCTA), eight also had MRA. Nine were men with an average age of 67 years. In nine patients, the diagnosis was confirmed at surgery or intravascular treatment. Eight were proven to have a spinal dural fistula. In two, the fistula was within the cervical cranial dura. In all patients, the venous drainage involved only the spinal venous plexus. RESULTS: MDCTA identified the level of the feeding artery in nine patients. In two cases, selective DSA failed to show the abnormality found on MDCTA, but both were confirmed at surgery. MRA was diagnostic in a case in which the lesion was not accurately depicted by either MDCTA or DSA. MRA was less accurate than MDCTA in determining the level of the feeding artery. CONCLUSION: MDCTA and MRA can direct and focus DSA. MDCTA gives additional useful three-dimensional bone detail and localization information for the surgeon. It may replace DSA if surgery is the planned treatment.

scholarly journals Isolated third nerve palsy: a rare neurological presentation of Burkitt's lymphoma

2017 ◽  
pp. bcr-2017-219670 ◽  
Author(s):  
Siddhesh Arun Kalantri ◽  
Akshatha Nayak ◽  
Saikat Datta ◽  
Maitreyee Bhattacharyya
Keyword(s):  
Nerve Palsy ◽  
Burkitt’S Lymphoma ◽  
Burkitt's Lymphoma ◽  
Third Nerve Palsy ◽  
Neurological Presentation ◽  
Third Nerve

scholarly journals Carotid Cavernous Sinus Fistula with Contralateral Feed Not Diagnosed by Virtual Assessment or by Non-Invasive Vascular Imaging

2021 ◽  
Vol 12 (2) ◽  
pp. 712-716
Author(s):  
Edsel Ing ◽  
Felix Tyndel ◽  
Joyce Tang ◽  
Thomas R. Marotta
Keyword(s):  
Vision Loss ◽  
Contralateral Side ◽  
Computed Tomographic Angiography ◽  
Low Flow ◽  
Computed Tomographic ◽  
Non Invasive ◽  
Carotid Cavernous Sinus Fistula ◽  
The Right ◽  
Tomographic Angiography ◽  
Ocular Signs

A 67-year-old woman had delayed initial diagnosis of her right low flow carotid cavernous fistula (CCF) during the coronavirus disease (COVID-19) pandemic due to difficulty detecting ocular signs via online virtual examinations. Her right eye conjunctival erythema and proptosis with medial rectus enlargement on computed tomography scan was initially misdiagnosed as euthyroid thyroid-associated orbitopathy without lid retraction. She developed vision loss, and increasing episcleral venous congestion and CCF was suspected. Computed tomographic angiography did not show an obvious fistula. Digital subtraction angiography revealed the right-sided low flow CCF, which was fed from vessels from the contralateral side.

Non-invasive vascular imaging in perforator flap surgery

2013 ◽  
Vol 54 (1) ◽  
pp. 89-98 ◽  
Author(s):  
Luca Saba ◽  
Matteo Atzeni ◽  
Warren Matthew Rozen ◽  
Alberto Alonso-Burgos ◽  
Raffaella Bura ◽  
...  
Keyword(s):  
Preoperative Planning ◽  
Perforator Flap ◽  
Computed Tomographic Angiography ◽  
Vascular Imaging ◽  
Preoperative Imaging ◽  
Flap Surgery ◽  
Computed Tomographic ◽  
Non Invasive ◽  
Tomographic Angiography

Preoperative imaging using a range of imaging modalities has become increasingly popular for preoperative planning in plastic surgery, in particular in perforator flap surgery. Modalities in this role include ultrasound (US), magnetic resonance angiography (MRA), and computed tomographic angiography (CTA). The evidence for the use of these techniques has been reported in only a handful of studies. In this paper we conducted a non-systematic review of the literature to establish the role for each of these modalities. The role of state-of-the-art vascular imaging as an application in perforator flap surgery is thus offered.

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