J Korean Soc Radiol.  2012 Oct;67(4):227-230. 10.3348/jksr.2012.67.4.227.

Isolated Oculomotor Nerve Palsy Caused by Cavernous Sinus Dural Arteriovenous Fistula: Case Report

Affiliations
  • 1Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. ihn@catholic.ac.kr
  • 2Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Cavernous dural arteriovenous fistula (DAVF), which usually presents with conjunctival injection, proptosis, loss of visual acuity, and ophthalmoplegia, is a rare cause of ophthalmoplegia. Thus, it may be overlooked when the typical symptoms are lacking. There have been some cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We report a patient presenting with isolated oculomotor palsy, caused by cavernous DAVF, which was treated by transvenous coil embolization. This case suggests that cavernous DAVF should be considered in the differential diagnosis of isolated oculomotor nerve palsy and for which case - selective angiography and embolization may be helpful in reaching a diagnosis and providing a guide for optimal treatment.


MeSH Terms

Angiography
Cavernous Sinus
Caves
Central Nervous System Vascular Malformations
Diagnosis, Differential
Exophthalmos
Humans
Oculomotor Nerve
Oculomotor Nerve Diseases
Ophthalmoplegia
Paralysis
Trochlear Nerve Diseases
Visual Acuity
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