Summary
We treated 9 patients with the dural arteriovenous fistula involving the cavernous sinus by transvenous embolization. Two patients experienced deterioration of oculo-motor dysfunction after transvenous embolization. We can speculate about two different kind of causes by which patients symptoms deteriorated according to the result of intrasinus pressure recorded during the embolization [1]: high intrasinus pressure caused by the obliteration of the drainage pathway resulted in cranial nerve palsy in one case [2]; implanted coils directly compressed the cranial nerve in another case. Fortunately our cases recovered, but some kind of preventative measures may be needed in similar cases.
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Aihara, N., Mase, M., Yamada, K. et al. Deterioration of Ocular Motor Dysfunction After Transvenous Embolization of Dural Arteriovenous Fistula Involving the Cavernous Sinus. Acta Neurochir (Wien) 141, 707–710 (1999). https://doi.org/10.1007/s007010050365
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DOI: https://doi.org/10.1007/s007010050365