[Spontaneous dural arterio-venous fistula at the cavernous sinus: detected by decompensation following endoscopic sinus surgery]. 2010

P Dubach, and J Dähn, and A Guggisberg, and G Schroth, and B Greusing
HNO-Klinik, Bürgerspital, 4500, Solothurn, Schweiz. Patrick.Dubach@insel.ch

Spontaneous dural arterio-venous fistulas can imperceptibly develop over a long time period before they suddenly develop symptoms like bruit, loss of vision, exophthalmos and conjunctival injection. We present the rare case of an occult, para-infectious, dural arterio-venous fistula which became symptomatic after endoscopic sinus surgery. Conjunctival injection and slight exophthalmos developed due to decompensation of venous drainage probably by intraoperative positioning of the patient, positive pressure ventilation and nasal packing.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002426 Cavernous Sinus An irregularly shaped venous space in the dura mater at either side of the sphenoid bone. Sinus, Cavernous
D004724 Endoscopy Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body. Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D020785 Central Nervous System Vascular Malformations Congenital, inherited, or acquired abnormalities involving ARTERIES; VEINS; or venous sinuses in the BRAIN; SPINAL CORD; and MENINGES. CNS Vascular Malformations,Congenital Vascular Malformations, Central Nervous System,Vascular Malformations, Brain,Vascular Malformations, Central Nervous System,Capillary Telangiectasia, Brain,Central Nervous System Congenital Vascular Malformations,Central Nervous System Vascular Anomalies,Cerebral Embryonic Artery, Persistent,Dural Arteriovenous Fistula,Embryonic Artery, Persistent, Cerebral,Persistent Cerebral Embryonic Artery,Pontine Capillary Telangiectasias,Vascular Anomalies, Central Nervous System,Vascular Malformations, Congenital, Nervous System,Arteriovenous Fistula, Dural,Arteriovenous Fistulas, Dural,Brain Capillary Telangiectasia,Brain Capillary Telangiectasias,Brain Vascular Malformation,Brain Vascular Malformations,CNS Vascular Malformation,Capillary Telangiectasia, Pontine,Capillary Telangiectasias, Brain,Capillary Telangiectasias, Pontine,Dural Arteriovenous Fistulas,Malformation, Brain Vascular,Malformation, CNS Vascular,Malformations, Brain Vascular,Malformations, CNS Vascular,Pontine Capillary Telangiectasia,Telangiectasia, Brain Capillary,Telangiectasia, Pontine Capillary,Telangiectasias, Brain Capillary,Telangiectasias, Pontine Capillary,Vascular Malformation, Brain,Vascular Malformation, CNS,Vascular Malformations, CNS

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