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KMID : 1103720120670040227
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Journal of the Korean Society of Radiology
2012 Volume.67 No. 4 p.227 ~ p.230
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Isolated Oculomotor Nerve Palsy Caused by Cavernous Sinus Dural Arteriovenous Fistula
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Ihn Yon-Kwon
Jung Won-Sang
Kim Bum-Soo
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Abstract
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Cavernous dural arteriovenous fistula (DAVF), which usually presents with conjunctival injection, proptosis, loss of visual acuity, and ophthalmoplegia, is a rare cause of ophthalmoplegia. Thus, it may be overlooked when the typical symptoms are lacking. There have been some cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We report a patient presenting with isolated oculomotor palsy, caused by cavernous DAVF, which was treated by transvenous coil embolization. This case suggests that cavernous DAVF should be considered in the differential diagnosis of isolated oculomotor nerve palsy and for which case - selective angiography and embolization may be helpful in reaching a diagnosis and providing a guide for optimal treatment.
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KEYWORD
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Cavernous Sinus, Oculomotor Palsy, Dural Arteriovenous Fistula
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