| 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 |
| 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 |
