Venous anastomotic circle, multiple varices and oculomotor palsy--a rare coincidence.

Mukerji, Nitin; Cahill, Julian; Tzerakis, Nikolaos; Nath, Fred P; Dervin, James E · Acta Neurochir (Wien) · 2010

case_report · Level V

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Abstract

Oculomotor nerve palsy due to a venous varix arising from flow anomalies caused by a dural arteriovenous fistula (AVF) is a rare phenomenon. We report a case of surgical third nerve palsy with a rare underlying AVF as the cause and discuss in detail the patho-anatomy and its significance. A tentorial dural AVF mimicking the arterial circle was found with multiple varix formation causing compressive oculomotor palsy. This was treated successfully with Onyx™ injection with a satisfactory angiographic result and complete resolution of symptoms.

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