Dural malformations with ophthalmic manifestations: results of particulate embolization in seven patients.

Seven patients with proptosis, chemosis, diplopia, and elevated intraocular pressure were found to have dural arteriovenous malformations with drainage into the cavernous sinus and superior ophthalmic vein. These patients had sufficient symptoms to justify therapeutic embolization with polyvinyl alcohol. Five of seven patients had complete resolution of their ophthalmic symptoms after embolization; the other two had transient improvement. Follow-up was 9-29 months. When 50% or more of the vessels supplying a malformation were embolized, complete relief of symptoms was obtained. Particulate embolization is an effective therapeutic approach in patients with significant ophthalmologic symptoms from dural malformations.

[1]  A. Fox,et al.  Spontaneous carotid-cavernous fistulas: clinical, radiological, and therapeutic considerations. Experience with 20 cases. , 1984, Journal of neurosurgery.

[2]  A. Grove.  The dural shunt syndrome. Pathophysiology and clinical course. , 1984, Ophthalmology.

[3]  A. Berenstein.  Brachiocephalic vessel: selective and superselective catheterization. , 1983, Radiology.

[4]  A. Kapur,et al.  Spontaneous carotid-cavernous fistula with ophthalmoplegia and facial palsy , 1982, Postgraduate medical journal.

[5]  H. Goepfert.  Craniofacial and Upper Cervical Arteries: Functional, Clinical, & Angiographic Aspects , 1982 .

[6]  K. Amplatz,et al.  Ivalon shavings: technical considerations of a new embolic agent. , 1982, Radiology.

[7]  J. Seeger,et al.  Carotid-cavernous sinus fistulas and venous thrombosis. , 1980, AJNR. American journal of neuroradiology.

[8]  S. Kaufman.  Simplified method of transcatheter embolization with polyvinyl alcohol foam (Ivalon). , 1979, AJR. American journal of roentgenology.

[9]  R. Kröger,et al.  Dural and direct cavernous sinus fistulas. , 1979, AJR. American journal of roentgenology.

[10]  J. Brismar,et al.  Spontaneous Carotid-Cavernous Fistulas Phlebographic Appearance and Relation to Thrombosis , 1976, Acta radiologica: diagnosis.

[11]  M. Aminoff,et al.  Asymptomatic dural vascular anomalies. , 1973, The British journal of radiology.

[12]  A. Rhoton,et al.  Intracranial dural arteriovenous malformations. , 1972, Radiology.

[13]  J. Goree,et al.  Spontaneous carotid-cavernous shunts presenting diagnostic problems. , 1971, Journal of neurosurgery.

[14]  M. Sanders,et al.  Hypoxic ocular sequelae of carotid-cavernous fistulae. Study of the caues of visual failure before and after neurosurgical treatment in a series of 25 cases. , 1969, The British journal of ophthalmology.

[15]  T. H. Newton,et al.  Dural arteriovenous malformation in the posterior fossa. , 1968, Radiology.

[16]  T. H. Newton,et al.  Arteriovenous communication between the occipital artery and transverse sinus. , 1966, Radiology.