A Case of Dural Carotid-Cavernous Sinus Fistula Associated with Ophthalmic Manifestations.

Lee, Hee Jong; Lee, Hwa Yeon; Kim, Suk Dong

Case Report

Journal of the Korean Ophthalmological Society 1996;37(9):1544-1549.
Published online September 1, 1996.

A Case of Dural Carotid-Cavernous Sinus Fistula Associated with Ophthalmic Manifestations.

Hee Jong Lee, Hwa Yeon Lee, Suk Dong Kim

Department of Ophthalmology, Holy Family Hospital, Catholic University, Medical College, Bucheon, Korea.

안증상을 동반한 경막동맥 - 해면정맥동루 1예

이희종(Hee Jong Lee),이화연(Hwa Yeon Lee),김석동(Suk Dong Kim)

Abstract

Dural carotid-cavernous sinus fistula is an abnormal communication between meningeal branches of the carotid artery and cavernous sinus. It usually occurs spontaneously, and 25 to 50% of fistula close spontaneously. Most cases are unilateral and rarely, contralateral or bilateral symptoms occur. Most of the patients are postmenopausal women, and show dilated conjunctival and episcleral vessels, exophthalmos, limited ocular movement and elevation of intraocular pressure. We report a case of dural carotid-cavernous sinus fistula in a 53 year old woman with typical ophthalmic manifestations.

Key Words: Dural carotid-cavernous sinus fistula