Down but not out

James D. Kim; Charlene Crockett; Orlando Diaz; Andrew G. Lee; Neil R. Miller

doi:10.1016/j.survophthal.2012.10.005

Down but not out

James D. Kim, Charlene Crockett, Orlando Diaz, Andrew G. Lee, Neil R. Miller

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

A 20-year-old Hispanic man with Down syndrome presented with progressively worsening headache, fluctuating decreased vision, and bilateral optic disk edema. Magnetic resonance imaging of the head showed an empty sella, and magnetic resonance venography showed thrombosis of left transverse and sigmoid sinuses. Catheter angiography angiogram showed a dural arteriovenous fistula in the wall of left transverse and sigmoid sinuses. The patient underwent Onyx endovascular embolization of the fistula, resulting in its angiographic obliteration, followed by resolution of his clinical signs and symptoms.

Original language	English (US)
Pages (from-to)	644-651
Number of pages	8
Journal	Survey of ophthalmology
Volume	58
Issue number	6
DOIs	https://doi.org/10.1016/j.survophthal.2012.10.005
State	Published - Nov 2013

Keywords

Cerebral venous sinus thrombosis
Dural arteriovenous malformation
Intracranial hypertension
Onyx embolization
Papilledema

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.survophthal.2012.10.005

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title = "Down but not out",

abstract = "A 20-year-old Hispanic man with Down syndrome presented with progressively worsening headache, fluctuating decreased vision, and bilateral optic disk edema. Magnetic resonance imaging of the head showed an empty sella, and magnetic resonance venography showed thrombosis of left transverse and sigmoid sinuses. Catheter angiography angiogram showed a dural arteriovenous fistula in the wall of left transverse and sigmoid sinuses. The patient underwent Onyx endovascular embolization of the fistula, resulting in its angiographic obliteration, followed by resolution of his clinical signs and symptoms.",

keywords = "Cerebral venous sinus thrombosis, Dural arteriovenous malformation, Intracranial hypertension, Onyx embolization, Papilledema",

author = "Kim, {James D.} and Charlene Crockett and Orlando Diaz and Lee, {Andrew G.} and Miller, {Neil R.}",

note = "Funding Information: The authors report no proprietary or commercial interest in any product mentioned or concept discussed in the article. Publication of this article was supported in part by an unrestricted grant from Research to Prevent Blinedness, Inc, New York, NY. Copyright: Copyright 2014 Elsevier B.V., All rights reserved.",

year = "2013",

month = nov,

doi = "10.1016/j.survophthal.2012.10.005",

language = "English (US)",

volume = "58",

pages = "644--651",

journal = "Survey of ophthalmology",

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T1 - Down but not out

AU - Kim, James D.

AU - Crockett, Charlene

AU - Diaz, Orlando

AU - Lee, Andrew G.

AU - Miller, Neil R.

N1 - Funding Information: The authors report no proprietary or commercial interest in any product mentioned or concept discussed in the article. Publication of this article was supported in part by an unrestricted grant from Research to Prevent Blinedness, Inc, New York, NY. Copyright: Copyright 2014 Elsevier B.V., All rights reserved.

PY - 2013/11

Y1 - 2013/11

N2 - A 20-year-old Hispanic man with Down syndrome presented with progressively worsening headache, fluctuating decreased vision, and bilateral optic disk edema. Magnetic resonance imaging of the head showed an empty sella, and magnetic resonance venography showed thrombosis of left transverse and sigmoid sinuses. Catheter angiography angiogram showed a dural arteriovenous fistula in the wall of left transverse and sigmoid sinuses. The patient underwent Onyx endovascular embolization of the fistula, resulting in its angiographic obliteration, followed by resolution of his clinical signs and symptoms.

AB - A 20-year-old Hispanic man with Down syndrome presented with progressively worsening headache, fluctuating decreased vision, and bilateral optic disk edema. Magnetic resonance imaging of the head showed an empty sella, and magnetic resonance venography showed thrombosis of left transverse and sigmoid sinuses. Catheter angiography angiogram showed a dural arteriovenous fistula in the wall of left transverse and sigmoid sinuses. The patient underwent Onyx endovascular embolization of the fistula, resulting in its angiographic obliteration, followed by resolution of his clinical signs and symptoms.

KW - Cerebral venous sinus thrombosis

KW - Dural arteriovenous malformation

KW - Intracranial hypertension

KW - Onyx embolization

KW - Papilledema

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Down but not out

Abstract

Keywords

ASJC Scopus subject areas

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