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Spontaneous Resolution of Two Dural Carotid-Cavernous Fistulas Presenting with Optic Neuropathy and Marked Congestive Ophthalmopathy

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Title Journal of Neuro-Ophthalmology, September 2010, Volume 30, Issue 3
Date 2010-09
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6f79jm2
Setname ehsl_novel_jno
ID 227102
Reference URL https://collections.lib.utah.edu/ark:/87278/s6f79jm2

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Title Spontaneous Resolution of Two Dural Carotid-Cavernous Fistulas Presenting with Optic Neuropathy and Marked Congestive Ophthalmopathy
Creator Bujak, Mathew; Margolin, Edward; Thompson, Andrew
Affiliation Department of Ophthalmology and Visual Sciences, University of Toronto
Abstract Two patients with dural carotid-cavernous fistulas (CCFs) presented with optic neuropathy and marked congestive ophthalmopathy, including 1 patient with a narrowed anterior chamber angle due to choroidal effusions. Endovascular intervention was planned but deferred for logistic reasons. While the patients awaited the procedures, the clinical features markedly improved, and time-resolved imaging of contrast kinetics (TRICKS) MRA was consistent with closure of the CCFs. These patients serve as a reminder that spontaneous resolution may occur in dural CCFs even when presenting clinical features are florid and vision appears to be threatened. In fact, a rapid worsening of clinical manifestations may be a sign that a dural CCF is about to close spontaneously.
Subject Older people; Carotid-Cavernous Sinus Fistula; Cerebral Angiography; Endovascular Procedures; Female; Graves Ophthalmopathy; Humans; Magnetic Resonance Angiography; Microscopy, Acoustic; Optic Nerve Diseases; Tomography, X-Ray Computed
OCR Text Show
Format application/pdf
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
Setname ehsl_novel_jno
ID 227083
Reference URL https://collections.lib.utah.edu/ark:/87278/s6f79jm2/227083