Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report
Abstract Background Tentorial dural arteriovenous fistulas (TDAVFs) are abnormal shunts between meningeal arteries and the intradural venous system located in the tentorial dura mater, which typically manifest with haemorrhage or progressive neurological disorders. TDAVFs with pure ocular presentati...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03124-8 |
| _version_ | 1797453496499306496 |
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| author | Yao Ma Kun Lv Kangyi Yang Huijuan Wu |
| author_facet | Yao Ma Kun Lv Kangyi Yang Huijuan Wu |
| author_sort | Yao Ma |
| collection | DOAJ |
| description | Abstract Background Tentorial dural arteriovenous fistulas (TDAVFs) are abnormal shunts between meningeal arteries and the intradural venous system located in the tentorial dura mater, which typically manifest with haemorrhage or progressive neurological disorders. TDAVFs with pure ocular presentation have been rarely reported. Case Presentations The case of a 56-year-old man presented with unilateral eye redness, proptosis and elevated intraocular pressure was reported herein, which was caused by a TDAVF. The fistula was fed by the left posterior cerebral artery and posterior meningeal artery. The drainage was into the basal vein and internal cerebral veins, which led the arterial blood flow forward to the left superior ophthalmic vein directly. The redundant blood flow caused the rise of episcleral venous pressure, leading to the clinical presentations. Gamma knife radiosurgery was performed then considering the delicate vascular structure and its deep location. The corkscrew hyperaemia was gradually alleviated after the surgery, but the intraocular pressure remained elevated at follow-ups. Conclusion Dural arteriovenous fistulas which are not directly connected to cavernous sinus could cause ocular presentations like proptosis, eye redness and ocular hypertension. |
| first_indexed | 2024-03-09T15:23:41Z |
| format | Article |
| id | doaj.art-b328081949fd48d39760e35a7520c5a3 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-09T15:23:41Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-b328081949fd48d39760e35a7520c5a32023-11-26T12:39:42ZengBMCBMC Ophthalmology1471-24152023-09-012311410.1186/s12886-023-03124-8Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case reportYao Ma0Kun Lv1Kangyi Yang2Huijuan Wu3Department of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalAbstract Background Tentorial dural arteriovenous fistulas (TDAVFs) are abnormal shunts between meningeal arteries and the intradural venous system located in the tentorial dura mater, which typically manifest with haemorrhage or progressive neurological disorders. TDAVFs with pure ocular presentation have been rarely reported. Case Presentations The case of a 56-year-old man presented with unilateral eye redness, proptosis and elevated intraocular pressure was reported herein, which was caused by a TDAVF. The fistula was fed by the left posterior cerebral artery and posterior meningeal artery. The drainage was into the basal vein and internal cerebral veins, which led the arterial blood flow forward to the left superior ophthalmic vein directly. The redundant blood flow caused the rise of episcleral venous pressure, leading to the clinical presentations. Gamma knife radiosurgery was performed then considering the delicate vascular structure and its deep location. The corkscrew hyperaemia was gradually alleviated after the surgery, but the intraocular pressure remained elevated at follow-ups. Conclusion Dural arteriovenous fistulas which are not directly connected to cavernous sinus could cause ocular presentations like proptosis, eye redness and ocular hypertension.https://doi.org/10.1186/s12886-023-03124-8Tentorial dural arteriovenous fistulasOcular hypertensionProptosisGamma knife |
| spellingShingle | Yao Ma Kun Lv Kangyi Yang Huijuan Wu Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report BMC Ophthalmology Tentorial dural arteriovenous fistulas Ocular hypertension Proptosis Gamma knife |
| title | Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report |
| title_full | Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report |
| title_fullStr | Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report |
| title_full_unstemmed | Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report |
| title_short | Secondary ocular hypertension due to tentorial dural arteriovenous fistula: a case report |
| title_sort | secondary ocular hypertension due to tentorial dural arteriovenous fistula a case report |
| topic | Tentorial dural arteriovenous fistulas Ocular hypertension Proptosis Gamma knife |
| url | https://doi.org/10.1186/s12886-023-03124-8 |
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