J Cerebrovasc Endovasc Neurosurg.  2016 Jun;18(2):135-140. 10.7461/jcen.2016.18.2.135.

Transvenous Coil Embolization for Dural Arteriovenous Fistulas of the Ophthalmic Sheath: Report of Two Cases and Review of the Literature

Affiliations
  • 1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Jsns.kim@samsung.com

Abstract

We present two patients with a dural arteriovenous fistula (dAVF) of the ophthalmic sheath who developed progressive exophthalmos, conjunctival chemosis, and visual loss. These symptoms mimic those of cavernous sinus dAVFs. Dural AVFs of the ophthalmic sheath are extremely rare and their clinical management is controversial. We successfully treated these two patients by transvenous coil embolization. Transvenous embolization appears to be a safe and effective method to treat dAVFs of the ophthalmic sheath.

Keyword

Dural arteriovenous fistula of ophthalmic sheath; Transvenous embolization; Superior ophthalmic vein; Inferior petrosal sinus; Facial vein
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