title: [Dural-cavernous fistulas revealed by bilateral alternating third and sixth nerve palsies].
abstract: A 74-year-old male was referred for disequilibrium, associated with right third and sixth nerve palsies observed 2weeks after head trauma with no loss of consciousness. On clinical examination, 4months after the injury, contralateral (left) third and sixth nerve palsies were observed, while ocular motility was now normal on the right side. The remainder of the ophthalmological examination was normal. Upon further history, tinnitus was found to have been present since the trauma, and auscultation of the preauricular area demonstrated a systolic bruit. Cerebral angiogram confirmed the presence of bilateral dural-cavernous fistulas. Clinical features of indirect or dural-cavernous fistulas and therapeutic options proposed in the literature are reviewed.
authors.affiliation: Service d'ophtalmologie, hôpital Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France. valerie.touitou@psl.aphp.fr
authors.forename: V
authors.initials: V
authors.lastname: Touitou
authors.forename: Z
authors.initials: Z
authors.lastname: Szatmary
authors.forename: N
authors.initials: N
authors.lastname: Sanda
authors.forename: N
authors.initials: N
authors.lastname: Sourour
authors.forename: D
authors.initials: D
authors.lastname: Grabli
authors.forename: C
authors.initials: C
authors.lastname: Pierrot-Deseilligny
authors.forename: P
authors.initials: P
authors.lastname: LeHoang
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D000368:Aged; D000792:Angiography; D002426:Cavernous Sinus / Q000000981:diagnostic imaging; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D006259:Craniocerebral Trauma / Q000150:complications / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D061220:Oculomotor Nerve Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy