Dural arteriovenous fistula presenting with exophthalmos and seizures.
Concomitant seizures and exophthalmos in the context of a temporal dural arteriovenous fistula (dAVF) has not been described before. Here, we report a 55-year-old-male who presented with an 8-month history of progressive painless exophthalmos of his left eye, conjunctival chemosis, reduced vision and new onset complex partial seizures. Cerebral angiography demonstrated Cognard Type IIa left cerebral dAVF fed by branches from the left occipital artery and an accessory meningeal artery, with drainage to the superior ophthalmic vein. Following surgical obliteration of dAVF feeding vessels, our patient had dramatic improvement in visual acuity, proptosis and chemosis along with cessation of clinical seizures.
Department of Neurology, University of Texas Medical Branch at Galveston, 301 University Blvd, JSA 9.128, Galveston, TX 77555, United States. Electronic address: amfeyiss@utmb.edu.
Anteneh M
AM
Feyissa
Department of Neurology, University of Texas Medical Branch at Galveston, 301 University Blvd, JSA 9.128, Galveston, TX 77555, United States.
Lucido L
LL
Ponce
Division of Neurosurgery, University of Texas Medical Branch at Galveston, Galveston, TX 77555, United States.
Joel T
JT
Patterson
Section of Interventional Neuroradiology, University of Texas Medical Branch at Galveston, Galveston, TX 77555, United States.
Rudiger H
RH
Von Ritschl
Department of Neurology, University of Texas Medical Branch at Galveston, 301 University Blvd, JSA 9.128, Galveston, TX 77555, United States.
Robert G
RG
Smith
D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002533:Cerebral Angiography; D004569:Electroencephalography; D005094:Exophthalmos / Q000150:complications*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000150:complications* / Q000175:diagnosis
Cerebral angiography; Complex partial seizure; Dural arteriovenous fistula; EEG; Exophthalmos; Neuro-opthalmology; Vascular neurology