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Clinics and Practice
Volume 1
Issue 4
10.4081/cp.2011.e110
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Posterior-Draining Dural Carotid Cavernous Fistulae: A Possible Cause of Computed Tomographic Angiography Negative Isolated Third Nerve Palsy

by
George Kwok Chu Wong
1,*,
Simon Chun Ho Yu
2 and
Wai Sang Poon
1
1
Division of Neurosurgery, Department of Surgery, 4/F Clinical Science Building, Prince of Wales Hospital, 1 Ngan Shing Street, Shatin, New Territories, Hong Kong, China
2
Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(4), e110; https://doi.org/10.4081/cp.2011.e110
Submission received: 21 September 2011 / Revised: 21 September 2011 / Accepted: 31 October 2011 / Published: 9 November 2011

Abstract

Computed tomographic angiography (CTA) is a well-established non-invasive investigation for this neurological presentation to exclude intracranial aneurysms. However, dural arteriovenous fistulae with anterograde venous drainage only can be missed by CTA. Here we reported two patients with painful complete third nerve palsy and dural carotid cavernous fistulae with anterograde venous drainage only missed by CTA. The natural history and management option are discussed. In patients with persistent symptoms or without vasculopathic risk factors, magnetic resonance angiography (MRA) or digital subtraction angiography (DSA) should be considered to exclude the diagnosis.
Keywords: angiography; carotid cavernous fistula; computed tomography; dural arterioveous fistula; oculomotor nerve angiography; carotid cavernous fistula; computed tomography; dural arterioveous fistula; oculomotor nerve

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MDPI and ACS Style

Wong, G.K.C.; Ho Yu, S.C.; Poon, W.S. Posterior-Draining Dural Carotid Cavernous Fistulae: A Possible Cause of Computed Tomographic Angiography Negative Isolated Third Nerve Palsy. Clin. Pract. 2011, 1, e110. https://doi.org/10.4081/cp.2011.e110

AMA Style

Wong GKC, Ho Yu SC, Poon WS. Posterior-Draining Dural Carotid Cavernous Fistulae: A Possible Cause of Computed Tomographic Angiography Negative Isolated Third Nerve Palsy. Clinics and Practice. 2011; 1(4):e110. https://doi.org/10.4081/cp.2011.e110

Chicago/Turabian Style

Wong, George Kwok Chu, Simon Chun Ho Yu, and Wai Sang Poon. 2011. "Posterior-Draining Dural Carotid Cavernous Fistulae: A Possible Cause of Computed Tomographic Angiography Negative Isolated Third Nerve Palsy" Clinics and Practice 1, no. 4: e110. https://doi.org/10.4081/cp.2011.e110

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