Isolated ocular motor nerve palsy in dural carotid-cavernous sinus fistula

H. C. Wu, L. S. Ro, C. J. Chen, S. T. Chen, T. H. Lee, Y. C. Chen, C. M. Chen

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

The incidence of dural carotid-cavernous sinus fistula (DCCF) presenting as isolated ocular motor nerve palsies without congestive ocular features is unknown. We reviewed the DCCF patients in our hospital during the last 10 years to elucidate the clinical and neuroradiological features of DCCF with isolated ocular motor nerve palsy. Eleven amongst the 33 DCCF patients presented isolated ocular motor nerve palsy. All the 11 patients underwent brain CT/CT angiography (CTA) and/or MRI/MR angiography (MRA), before the digital subtraction angiography (DSA). The compromised nerves were the oculomotor nerve in eight (72.7%), abducens nerve in two (18.2%) and trochlear nerve in one (9.1%). Brain CT and/or CTA were conducted in four patients but all unremarkable. MRI and/or MRA were performed in nine patients and six of them showed compatible findings of DCCF. The diagnoses of DCCFs were confirmed by DSA and all were posterior-draining type. The outcome was good, with a total recovery rate of 54.5% within 12 months. Thirty-three percent (11 of 33) of our DCCF patients presented with isolated ocular motor nerve palsy, which is not uncommon. MRI and MRA are of value in the initial evaluation, but DSA is necessary for the accurate diagnosis and treatment planning.

Original languageEnglish
Pages (from-to)1221-1225
Number of pages5
JournalEuropean Journal of Neurology
Volume13
Issue number11
DOIs
Publication statusPublished - Nov 2006
Externally publishedYes

Fingerprint

Carotid-Cavernous Sinus Fistula
Paralysis
Digital Subtraction Angiography
Magnetic Resonance Angiography
Trochlear Nerve
Abducens Nerve
Oculomotor Nerve
Brain
Angiography
Incidence

Keywords

  • Carotid-cavernous sinus fistula
  • Ophthalmoplegia
  • White-eyed shunt

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Isolated ocular motor nerve palsy in dural carotid-cavernous sinus fistula. / Wu, H. C.; Ro, L. S.; Chen, C. J.; Chen, S. T.; Lee, T. H.; Chen, Y. C.; Chen, C. M.

In: European Journal of Neurology, Vol. 13, No. 11, 11.2006, p. 1221-1225.

Research output: Contribution to journalArticle

Wu, H. C. ; Ro, L. S. ; Chen, C. J. ; Chen, S. T. ; Lee, T. H. ; Chen, Y. C. ; Chen, C. M. / Isolated ocular motor nerve palsy in dural carotid-cavernous sinus fistula. In: European Journal of Neurology. 2006 ; Vol. 13, No. 11. pp. 1221-1225.
@article{71ab827e14834170b945c56e9eb9e172,
title = "Isolated ocular motor nerve palsy in dural carotid-cavernous sinus fistula",
abstract = "The incidence of dural carotid-cavernous sinus fistula (DCCF) presenting as isolated ocular motor nerve palsies without congestive ocular features is unknown. We reviewed the DCCF patients in our hospital during the last 10 years to elucidate the clinical and neuroradiological features of DCCF with isolated ocular motor nerve palsy. Eleven amongst the 33 DCCF patients presented isolated ocular motor nerve palsy. All the 11 patients underwent brain CT/CT angiography (CTA) and/or MRI/MR angiography (MRA), before the digital subtraction angiography (DSA). The compromised nerves were the oculomotor nerve in eight (72.7{\%}), abducens nerve in two (18.2{\%}) and trochlear nerve in one (9.1{\%}). Brain CT and/or CTA were conducted in four patients but all unremarkable. MRI and/or MRA were performed in nine patients and six of them showed compatible findings of DCCF. The diagnoses of DCCFs were confirmed by DSA and all were posterior-draining type. The outcome was good, with a total recovery rate of 54.5{\%} within 12 months. Thirty-three percent (11 of 33) of our DCCF patients presented with isolated ocular motor nerve palsy, which is not uncommon. MRI and MRA are of value in the initial evaluation, but DSA is necessary for the accurate diagnosis and treatment planning.",
keywords = "Carotid-cavernous sinus fistula, Ophthalmoplegia, White-eyed shunt",
author = "Wu, {H. C.} and Ro, {L. S.} and Chen, {C. J.} and Chen, {S. T.} and Lee, {T. H.} and Chen, {Y. C.} and Chen, {C. M.}",
year = "2006",
month = "11",
doi = "10.1111/j.1468-1331.2006.01478.x",
language = "English",
volume = "13",
pages = "1221--1225",
journal = "European Journal of Neurology",
issn = "1351-5101",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - Isolated ocular motor nerve palsy in dural carotid-cavernous sinus fistula

AU - Wu, H. C.

AU - Ro, L. S.

AU - Chen, C. J.

AU - Chen, S. T.

AU - Lee, T. H.

AU - Chen, Y. C.

AU - Chen, C. M.

PY - 2006/11

Y1 - 2006/11

N2 - The incidence of dural carotid-cavernous sinus fistula (DCCF) presenting as isolated ocular motor nerve palsies without congestive ocular features is unknown. We reviewed the DCCF patients in our hospital during the last 10 years to elucidate the clinical and neuroradiological features of DCCF with isolated ocular motor nerve palsy. Eleven amongst the 33 DCCF patients presented isolated ocular motor nerve palsy. All the 11 patients underwent brain CT/CT angiography (CTA) and/or MRI/MR angiography (MRA), before the digital subtraction angiography (DSA). The compromised nerves were the oculomotor nerve in eight (72.7%), abducens nerve in two (18.2%) and trochlear nerve in one (9.1%). Brain CT and/or CTA were conducted in four patients but all unremarkable. MRI and/or MRA were performed in nine patients and six of them showed compatible findings of DCCF. The diagnoses of DCCFs were confirmed by DSA and all were posterior-draining type. The outcome was good, with a total recovery rate of 54.5% within 12 months. Thirty-three percent (11 of 33) of our DCCF patients presented with isolated ocular motor nerve palsy, which is not uncommon. MRI and MRA are of value in the initial evaluation, but DSA is necessary for the accurate diagnosis and treatment planning.

AB - The incidence of dural carotid-cavernous sinus fistula (DCCF) presenting as isolated ocular motor nerve palsies without congestive ocular features is unknown. We reviewed the DCCF patients in our hospital during the last 10 years to elucidate the clinical and neuroradiological features of DCCF with isolated ocular motor nerve palsy. Eleven amongst the 33 DCCF patients presented isolated ocular motor nerve palsy. All the 11 patients underwent brain CT/CT angiography (CTA) and/or MRI/MR angiography (MRA), before the digital subtraction angiography (DSA). The compromised nerves were the oculomotor nerve in eight (72.7%), abducens nerve in two (18.2%) and trochlear nerve in one (9.1%). Brain CT and/or CTA were conducted in four patients but all unremarkable. MRI and/or MRA were performed in nine patients and six of them showed compatible findings of DCCF. The diagnoses of DCCFs were confirmed by DSA and all were posterior-draining type. The outcome was good, with a total recovery rate of 54.5% within 12 months. Thirty-three percent (11 of 33) of our DCCF patients presented with isolated ocular motor nerve palsy, which is not uncommon. MRI and MRA are of value in the initial evaluation, but DSA is necessary for the accurate diagnosis and treatment planning.

KW - Carotid-cavernous sinus fistula

KW - Ophthalmoplegia

KW - White-eyed shunt

UR - http://www.scopus.com/inward/record.url?scp=33750083317&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750083317&partnerID=8YFLogxK

U2 - 10.1111/j.1468-1331.2006.01478.x

DO - 10.1111/j.1468-1331.2006.01478.x

M3 - Article

VL - 13

SP - 1221

EP - 1225

JO - European Journal of Neurology

JF - European Journal of Neurology

SN - 1351-5101

IS - 11

ER -