J Korean Soc Radiol.  2017 May;76(5):322-325. 10.3348/jksr.2017.76.5.322.

A Traumatic Dural Arteriovenous Fistula between the Inferolateral Trunk of the Internal Carotid Artery and the Ophthalmic Vein: A Case of Transvenous Coil Embolization via the Facial Vein

Affiliations
  • 1Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. suhsh11@yuhs.ac
  • 2Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
  • 3Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 4Severance Institute of Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul, Korea.

Abstract

A 31-year-old man was admitted with exophthalmos. He suffered from progressive exophthalmos, bruit and conjunctival chemosis 7 days after head trauma caused by falling down. Cerebral angiography showed a dural arteriovenous fistula (DAVF) draining into the ophthalmic vein caused by tear in the inferolateral trunk, which is a rare presentation of traumatic DAVF. Selective transvenous coil embolization was performed via the facial vein without neurologic complications.


MeSH Terms

Accidental Falls
Adult
Carotid Artery, Internal*
Central Nervous System Vascular Malformations*
Cerebral Angiography
Craniocerebral Trauma
Embolization, Therapeutic*
Exophthalmos
Humans
Tears
Veins*
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