J Korean Neurol Assoc.
2001 Sep;19(5):520-525.
Dural Arteriovenous Fistula of the Cavernous Sinus Presenting with Progressive Venous Congestion of the Pons and Cerebrum: Report of one case
- Affiliations
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- 1Department of Neurology, University of Ulsan college of Medicine, Asan Medical Center.
- 2Department of Neurosurgery, University of Ulsan college of Medicine, Asan Medical Center.
- 3Department of Diagnostic Radiology, University of Ulsan college of Medicine, Asan Medical Center.
Abstract
- A 61-year-old woman with a left cavernous sinus dural arteriovenous fistula presented with left 6th nerve palsy. Initial brain MRI showed findings consistent with left-sided pontine infarction. Follow-up MRIs revealed an enlarged pontine lesion, and additional lesions in the right hippocampus, both basal ganglia and centrum semiovale mimicking a brain tumor or a demyelinating disease. We suggest that the MRI lesions are venous congestions caused by the shunting of blood flow from the left carotid artery into the venous system. (J Korean Neurol Assoc 19(5):520~525, 2001)
MeSH Terms
-
Abducens Nerve Diseases
Basal Ganglia
Brain
Brain Neoplasms
Carotid Arteries
Cavernous Sinus*
Central Nervous System Vascular Malformations*
Cerebrum*
Demyelinating Diseases
Estrogens, Conjugated (USP)
Female
Follow-Up Studies
Hippocampus
Humans
Hyperemia*
Infarction
Magnetic Resonance Imaging
Middle Aged
Pons*
Estrogens, Conjugated (USP)
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