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Related Experiment Video

Updated: Jun 14, 2026

Adult Mouse Venous Hypertension Model: Common Carotid Artery to External Jugular Vein Anastomosis.

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Published on: January 27, 2015

Spontaneous dural cavernous fistula in infancy.

Paul B Johnson¹, Gary J Lelli, Azita Khorsandi

¹The New York Eye and Ear Infirmary, New York, New York, USA. pjohnson@nyee.edu

Ophthalmic Plastic and Reconstructive Surgery

|March 23, 2010

Summary

A rare case of spontaneous arteriovenous fistula in an infant caused orbital congestion. Embolization successfully treated the condition, preventing long-term vision problems.

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Published on: February 29, 2020

Area of Science:

Ophthalmology
Neurology
Radiology

Background:

Spontaneous arteriovenous fistulae are rare in infants.
Orbital congestion in infants can have various causes.

Observation:

A 4-month-old boy presented with sudden proptosis and dilated episcleral veins.
Imaging revealed an enlarged superior ophthalmic vein and thickened extraocular muscles.
Dural middle meningeal--cavernous sinus fistula was confirmed.

Findings:

Embolization successfully resolved the infant's proptosis and dilated episcleral veins.
The patient's signs and symptoms were completely alleviated post-treatment.

Implications:

Spontaneous dural arteriovenous fistulae should be considered in infants with orbital congestion.
Timely treatment can prevent serious visual complications like amblyopia and glaucoma.
Early diagnosis and intervention are crucial for preserving vision in affected infants.