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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Dural Arteriovenous Fistula Presenting with Purely Contralateral Ophthalmic Manifestations
Brandon J Baartman1, Andrew Bauer2, Ferdinand Hui2
1Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland, OH, USA.
Purpose:
To report a case of dural arteriovenous fistula presenting with purely contralateral ophthalmic manifestations.
Design:
Interventional case report.
Results:
A 70-year-old male presenting with right-sided proptosis, injection, and choroidal effusions with a completely quiet fellow eye was found to have a left-sided dural arteriovenous fistula. After recognition on cerebral angiography, successful endovascular embolization was achieved, along with complete resolution of the contralateral ocular signs.
Conclusions:
Entirely unilateral ocular signs suggestive of an intracranial arteriovenous fistula may herald the presence of a contralateral vascular lesion.
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