title: Direct orbital puncture of the cavernous sinus for the treatment of a carotid-cavernous dural AV fistula with a concomitant venous/lymphatic malformation.
abstract: A 37- year old male with a long history of a left orbital venous/lympathic malformation presented with ocular injection, increased proptosis and reduced left vision. Angiography demonstrated a carotid cavernous dural AV fistula combined with a concomitant venous/lymphatic malformation. After attempts at transvenous embolization, a direct uncomplicated transorbital puncture of the cavernous sinus via a lateral orbitotomy was performed with complete resolution of ocular symptoms.
authors.affiliation: Departmaent of Ophthalmology .
authors.forename: Adriaan D
authors.initials: AD
authors.lastname: Coumou
authors.forename: René
authors.initials: R
authors.lastname: van den Berg
authors.forename: Joost C
authors.initials: JC
authors.lastname: Bot
authors.forename: Daan B
authors.initials: DB
authors.lastname: Beetsma
authors.forename: Peerooz
authors.initials: P
authors.lastname: Saeed
mesh_terms: D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D007429:Intraocular Pressure / Q000502:physiology; D044148:Lymphatic Abnormalities / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis / Q000601:surgery*; D011677:Punctures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000002:abnormalities*; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology; D014792:Visual Acuity / Q000502:physiology