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KMID : 1036520110010010082
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Clinical Neuro-Ophthalmology
2011 Volume.1 No. 1 p.82 ~ p.84
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Inferior Divisional Palsy of Oculomotor Nerve Due to Dural Carotid-Cavernous Sinus Fistula
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KIm Seon-Hye
Lee Jae-Hyeok
Cho Jae-Wook
Park Kyung-Phil
Kim Dae-Sung
Baik Seung-Kug
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Abstract
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Isolated inferior division palsy of third cranial nerve is rare. The authors report a patient with isolated, pupil-involving third cranial nerve palsy from a dural carotid-cavernous sinus fistula (CCF). A 57-year-old man complained double vision and pain behind his right eye. Neuro-ophthalmologic examination showed a limitation of the right inferior rectus (IR), right medial rectus (MR), and right inferior oblique (IO) muscles. In conventional angiography, right intracranial & extracranial angiograms showed dural CCF, which shunts between meningeal branches of both the intracranial and extracranial artery and the cavernous sinus. The dural CCF were treated by placement of detachable platinum coils and then his ocular pain, diplopia, and limitation of the IR, MR and IO muscles were disappeared.
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KEYWORD
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Oculomotor nerve palsy, Carotid-cavernous sinus fistula
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