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Angioarchitectural Evolution of Clival Dural Arteriovenous Fistulas in Two Patients
Authors:Andrew E. Pouw  Richard L. Rabin  Rustum Karanjia  Simon R. Bababeygy  Arun P. Amar  Alfredo A. Sadun
Affiliation:aKeck School of Medicine, University of Southern California, Calif., USA;bDoheny Eye Institute, University of California Los Angeles, Los Angeles, Calif., USA;cDepartment of Ophthalmology, Nassau University Medical Center, East Meadow, N.Y., USA;dGavin Herbert Eye Institute, University of California Irvine, Irvine, Calif., USA
Abstract:
Dural arteriovenous fistulas (dAVFs) may present in a variety of ways, including as carotid-cavernous sinus fistulas. The ophthalmologic sequelae of carotid-cavernous sinus fistulas are known and recognizable, but less commonly seen is the rare clival fistula. Clival dAVFs may have a variety of potential anatomical configurations but are defined by the involvement of the venous plexus just overlying the bony clivus. Here we present two cases of clival dAVFs that most likely evolved from carotid-cavernous sinus fistulas.Key Words: Neuro-ophthalmology, Carotid-cavernous sinus fistula, Clivus, Clival fistula, Dural arteriovenous fistula
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