Open AccessIsolated bilateral abducens nerve palsy due to carotid cavernous dural arteriovenous fistula
Author(s) -
Ki Young Lee,
Seung Min Kim,
Dong Ik Kim
Publication year - 1998
Publication title -
yonsei medical journal/yonsei medical journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.702
H-Index - 63
eISSN - 1976-2437
pISSN - 0513-5796
DOI - 10.3349/ymj.1998.39.3.283
Subject(s) - medicine , abducens nerve , palsy , arteriovenous fistula , carotid cavernous fistula , trochlear nerve , oculomotor nerve palsy , cavernous sinus , surgery , fistula , radiology , arteriovenous malformation , pathology , alternative medicine
Carotid cavernous dural arteriovenous fistula (DAVF) usually presents with conjunctival injection, proptosis, loss of visual acuity and ophthalmoplegia. There have been some carotid cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We experienced a patient presenting with bilateral abducens nerve palsy and no other ocular signs who was diagnosed as carotid cavernous DAVF after conventional angiography. According to this case, carotid cavernous DAVF should be considered in the differential diagnosis of isolated bilateral abducens nerve palsy, in which case conventional angiography may be helpful in diagnosis.