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http://dx.doi.org/10.3340/jkns.2016.59.3.296

Infantile Dural Arteriovenous Fistula of the Transverse Sinus Presenting with Ocular Symptoms, Case Reports and Review of Literature  

Sultan, Ahmed Elsayed (Department of Neurosurgery, Alexandria University School of Medicine)
Hassan, Tamer (Department of Neurosurgery, Alexandria University School of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.59, no.3, 2016 , pp. 296-301 More about this Journal
Abstract
Dural arteriovenous fistula (DAVF) of the transverse sinus with ophthalmic manifestations in young children are rare. We reviewed two cases of direct AVF of the transverse sinus with ocular manifestations managed at our institution. The first, a 2.5 years old male child presented with left exophthalmos. Angiography revealed AVF between the occipital artery and the transverse sinus. The second, a 2 years old female child, complained of left exophthalmos. Imaging studies showed bilateral direct AVFs of the transverse sinus with bilateral dysmaturation of the sigmoid sinus. Transarterial embolization was done in both cases. Clinical and radiological follow up revealed complete cure. This report suggests that DAVF of the transverse sinus supplied by the external carotid branches can present with ophthalmic manifestations especially if there is distal venous stenosis or obliteration involving sigmoid sinus. Transarterial embolization using coils and liquid embolic agents could be safe and feasible to obliterate the fistula.
Keywords
Dural arteriovenous fistula; Exophthalmos; Transverse sinus; Sigmoid sinus dysmaturation;
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