Case 2: 62-year-old woman with loss of visual acuity, right-sided chemosis, and exophthalmos. Case 2: 62-year-old woman with loss of visual acuity, right-sided.

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Presentation transcript:

Case 2: 62-year-old woman with loss of visual acuity, right-sided chemosis, and exophthalmos. Case 2: 62-year-old woman with loss of visual acuity, right-sided chemosis, and exophthalmos. A, On admission, left internal carotid arteriogram in a lateral projection shows a DAVF of the cavernous sinus with venous drainage into the right (arrows) and left (arrowhead) superior ophthalmic vein.B, Axial T2-weighted MR image with a fast spin-echo sequence (5000/105/2) obtained after intermittent compression of the common carotid artery and jugular vein shows diffuse hyperintensity of the pons (arrow).C, Contrast-enhanced axial T1-weighted image (500/9/2) shows enhancement on the pons, demarcated by the pontine raphe (arrow).D, Left internal carotid arteriogram in a lateral projection just before embolization shows a DAVF with stagnant blood flow into the right superior (arrowheads) and inferior (arrow) ophthalmic vein. The right superior ophthalmic vein is obliterated at the extraconic portion. Posterior venous drainage via the right superior petrosal sinus is not demonstrated.E, Axial T2-weighted image obtained with a fast spin-echo sequence (3000/98/2) approximately 1 month after embolization shows significant improvement of the pontine lesion (arrow). Satoshi Takahashi et al. AJNR Am J Neuroradiol 1999;20:886-888 ©1999 by American Society of Neuroradiology