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Published in: Acta Neurochirurgica 3/2012

01-03-2012 | Case Report

Direct arteriovenous fistula at the inferolateral trunk mimicking carotid cavernous fistula without involving the cavernous sinus: a case report

Authors: Nobutaka Horie, Minoru Morikawa, Gohei So, Kentaro Hayashi, Kazuhiko Suyama, Izumi Nagata

Published in: Acta Neurochirurgica | Issue 3/2012

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Abstract

The authors present the case of a 66-year-old female who developed progressive pulsating exophthalmos, a bruit, and conjunctival chemosis 7 months after a head injury. These symptoms, though highly suspicious of carotid cavernous fistula, were caused by an arteriovenous fistula (AVF) between the inferolateral trunk (ILT) and the ophthalmic veins. A direct AVF at the branch of the ILT without involvement of the cavernous sinus is extremely rare, but could occur in the case of acquired AVF since the ILT has some branches around venous structures outside the cavernous sinus. The clinical implications of this case are discussed in terms of the anatomical aspects.
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Metadata
Title
Direct arteriovenous fistula at the inferolateral trunk mimicking carotid cavernous fistula without involving the cavernous sinus: a case report
Authors
Nobutaka Horie
Minoru Morikawa
Gohei So
Kentaro Hayashi
Kazuhiko Suyama
Izumi Nagata
Publication date
01-03-2012
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2012
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-011-1226-8

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