Rare dural arteriovenous fistula of the lesser sphenoid wing sinus

Nicole M. Khadavi, Ronald Mancini, Tanuj Nakra, Angelo C. Tsirbas, Raymond S. Douglas, Robert A. Goldberg, Gary R. Duckwiler

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A fistula of the lesser sphenoid wing sinus is a rare dural arteriovenous fistula resulting from a connection between the middle meningeal artery and recipient vein in the sinus of the lesser sphenoid wing. In this report, MRI/magnetic resonance angiography of a 54-year-old man who presented with sudden-onset glaucoma and proptosis revealed a fistula in this anatomic location. Drainage patterns here may account for the absence of serious complications and optimistic prognosis following embolization. Care in diagnosis is required to avoid superfluous procedures, because classic signs of the more common carotid-cavernous fistula are absent.

Original languageEnglish (US)
Pages (from-to)404-406
Number of pages3
JournalOphthalmic plastic and reconstructive surgery
Volume25
Issue number5
DOIs
StatePublished - Sep 1 2009

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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    Khadavi, N. M., Mancini, R., Nakra, T., Tsirbas, A. C., Douglas, R. S., Goldberg, R. A., & Duckwiler, G. R. (2009). Rare dural arteriovenous fistula of the lesser sphenoid wing sinus. Ophthalmic plastic and reconstructive surgery, 25(5), 404-406. https://doi.org/10.1097/IOP.0b013e3181b3c1c4