Dural arteriovenous fistula presenting with exophthalmos and seizures

Abstract Concomitant seizures and exophthalmos in the context of a temporal dural arteriovenous fistula (dAVF) has not been described before. Here, we report a 55-year-old-male who presented with an 8-month history of progressive painless exophthalmos of his left eye, conjunctival chemosis, reduced...

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Bibliographic Details
Published in:Journal of the neurological sciences 2014-03, Vol.338 (1), p.229-231
Main Authors: Feyissa, Anteneh M, Ponce, Lucido L, Patterson, Joel T, Von Ritschl, Rudiger H, Smith, Robert G
Format: Article
Language:English
Subjects:
Central Nervous System Vascular Malformations - complications
Central Nervous System Vascular Malformations - diagnosis
Central Nervous System Vascular Malformations - surgery
Cerebral Angiography
Complex partial seizure
Dural arteriovenous fistula
EEG
Electroencephalography
Exophthalmos
Exophthalmos - complications
Humans
Magnetic Resonance Angiography
Male
Middle Aged
Neuro-opthalmology
Neurology
Seizures - complications
Seizures - diagnosis
Vascular neurology
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Summary:Abstract Concomitant seizures and exophthalmos in the context of a temporal dural arteriovenous fistula (dAVF) has not been described before. Here, we report a 55-year-old-male who presented with an 8-month history of progressive painless exophthalmos of his left eye, conjunctival chemosis, reduced vision and new onset complex partial seizures. Cerebral angiography demonstrated Cognard Type IIa left cerebral dAVF fed by branches from the left occipital artery and an accessory meningeal artery, with drainage to the superior ophthalmic vein. Following surgical obliteration of dAVF feeding vessels, our patient had dramatic improvement in visual acuity, proptosis and chemosis along with cessation of clinical seizures.
ISSN:0022-510X
1878-5883
DOI:10.1016/j.jns.2014.01.008