Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula
We report a case of symptomatic jugular venous reflux (JVR) with dilatation of left superior ophthalmic vein (SOV), mimicking cavernous dural arteriovenous fistula (AVF). Severe JVR was caused by an AVFfor hemodialysis access and the narrowing of the left brachiocephalic vein. In-flow signals were f...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-09-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319302419 |
| _version_ | 1828529459943178240 |
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| author | Akihiro Nakamata, MD Akira Yogi, MD, PhD Tsuyoshi Harakuni, MD Kousei Ishigami, MD, PhD Sadayuki Murayama, MD, PhD |
| author_facet | Akihiro Nakamata, MD Akira Yogi, MD, PhD Tsuyoshi Harakuni, MD Kousei Ishigami, MD, PhD Sadayuki Murayama, MD, PhD |
| author_sort | Akihiro Nakamata, MD |
| collection | DOAJ |
| description | We report a case of symptomatic jugular venous reflux (JVR) with dilatation of left superior ophthalmic vein (SOV), mimicking cavernous dural arteriovenous fistula (AVF). Severe JVR was caused by an AVFfor hemodialysis access and the narrowing of the left brachiocephalic vein. In-flow signals were found from the left internal jugular vein to left SOV on magnetic resonance angiography, and T1-weighted image and T2-weighted images demonstrated flow voids in bilateral sigmoid sinuses and confluence of sinuses due to rapid retrograde venous flow. We would like to emphasize that the presence of in-flow signals/flow voids in the venous sinuses may be the key imaging clues to distinguish JVR with dilatation of the SOV from cDAVF. Keywords: Jugular venous reflux (JVR), Cavernous dural arteriovenous fistula (cDAVF), Superior ophthalmic vein, MRI, MRA |
| first_indexed | 2024-12-11T22:09:09Z |
| format | Article |
| id | doaj.art-60a57e892f9449ba93ef39a7fc7719eb |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-11T22:09:09Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-60a57e892f9449ba93ef39a7fc7719eb2022-12-22T00:48:52ZengElsevierRadiology Case Reports1930-04332019-09-0114911671170Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistulaAkihiro Nakamata, MD0Akira Yogi, MD, PhD1Tsuyoshi Harakuni, MD2Kousei Ishigami, MD, PhD3Sadayuki Murayama, MD, PhD4Department of Radiology, Urasoe General Hospital, 4-16-1 Iso, Urasoe, Okinawa 901-2132, JapanDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; Corresponding author.Department of Neurosurgery, Urasoe General Hospital, 4-16-1 Iso, Urasoe, Okinawa 901-2132, JapanDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanWe report a case of symptomatic jugular venous reflux (JVR) with dilatation of left superior ophthalmic vein (SOV), mimicking cavernous dural arteriovenous fistula (AVF). Severe JVR was caused by an AVFfor hemodialysis access and the narrowing of the left brachiocephalic vein. In-flow signals were found from the left internal jugular vein to left SOV on magnetic resonance angiography, and T1-weighted image and T2-weighted images demonstrated flow voids in bilateral sigmoid sinuses and confluence of sinuses due to rapid retrograde venous flow. We would like to emphasize that the presence of in-flow signals/flow voids in the venous sinuses may be the key imaging clues to distinguish JVR with dilatation of the SOV from cDAVF. Keywords: Jugular venous reflux (JVR), Cavernous dural arteriovenous fistula (cDAVF), Superior ophthalmic vein, MRI, MRAhttp://www.sciencedirect.com/science/article/pii/S1930043319302419 |
| spellingShingle | Akihiro Nakamata, MD Akira Yogi, MD, PhD Tsuyoshi Harakuni, MD Kousei Ishigami, MD, PhD Sadayuki Murayama, MD, PhD Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula Radiology Case Reports |
| title | Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula |
| title_full | Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula |
| title_fullStr | Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula |
| title_full_unstemmed | Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula |
| title_short | Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula |
| title_sort | symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula |
| url | http://www.sciencedirect.com/science/article/pii/S1930043319302419 |
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