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Published on: October 13, 2017
Hypoglossal Canal Dural Arteriovenous Fistula: A Rare Cause of Ocular Proptosis
Laurence Cox1, Stella Hristova2, Maria Filyridou1
1Department of Ophthalmology, East Sussex NHS Healthcare Trust, Kings Parade, Eastbourne, UK.
Abstract:
It is exceedingly rare for dural arteriovenous fistulae (DAVFs) outside of the cavernous sinus to present with ophthalmological symptoms and signs. Hypoglossal canal DAVFs (HC-DAVFs) have only previously been reported as individual cases or small case series. Further, only an estimated 31% of HC-DAVFs present with ophthalmological findings. We report a noteworthy case of an HC-DAVF in a 74-year-old male who presented with proptosis, chemosis, and reduced visual acuity. He was treated endovascularly with liquid embolic filling. This report aims to highlight HC-DAVF as an important differential diagnosis for patients presenting with symptoms suggestive of arterialisation of the ophthalmic veins.
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