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Transvenous embolization of an intraosseous dural arteriovenous fistula of the anterior condylar vein with anomalous venous drainage causing ocular manifestations
Authors:Cheol Young LeeJun Seok Koh  Gi Young KwonChang Woo Ryu  Seung Hwan Lee
Affiliation:a Department of Neurosurgery, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital of Kyung Hee University, 134-090 Sangil-Dong 149, Gangdong-Gu, Seoul, Republic of Korea
b Department of Neurosurgery, Cheongju St Mary’s Hospital, Cheongju, Chungcheongbuk-do, Republic of Korea
c Department of Diagnostic Radiology, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital of Kyung Hee University, Seoul, Republic of Korea
Abstract:We report a patient with a rare dural arteriovenous fistula of the anterior condylar vein, who presented with unusual clinical symptoms due to the anomalous venous drainage. The patient had progressive ocular signs, a dilated venous pouch at the skull base and, on angiography, retrograde venous drainage into the superior ophthalmic vein. Transvenous embolization of the venous pouch produced complete amelioration of the ocular symptoms. Such treatment may be curative for dural arteriovenous fistulas of the anterior condylar vein.
Keywords:Dural arteriovenous fistula   Ocular manifestations   Skull base   Transvenous embolization
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