Spontaneous dural cavernous sinus fistula in a child.
We describe the clinical course of a 9-year-old boy in whom a spontaneous dural cavernous sinus fistula developed. The patient initially presented with proptosis and conjunctival congestion believed to be caused by a cavernous sinus hemangioma and was prescribed oral prednisone. He subsequently developed pain, increased proptosis, and decreased vision. Emergent angiography revealed a dural cavernous sinus fistula, which was successfully embolized. This is the first case to our knowledge of a dural cavernous sinus fistula in a noninfant child that was treated successfully with embolization during angiography.
Skolnick
K A
KA
Department of Ophthalmology, Loyola University Medical Center, Maywood, Illinois, USA.
McDonnell
J F
JF
D002426:Cavernous Sinus / Q000002:abnormalities*; D002493:Central Nervous System Diseases / Q000175:diagnosis* / Q000628:therapy; D002533:Cerebral Angiography; D002648:Child; D003937:Diagnosis, Differential; D004388:Dura Mater / Q000002:abnormalities*; D004621:Embolization, Therapeutic; D005402:Fistula / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male