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Dural Arteriovenous Fistula Presenting with Purely Contralateral Ophthalmic Manifestations.
Ocular Oncology and Pathology 2017 July
PURPOSE: To report a case of dural arteriovenous fistula presenting with purely contralateral ophthalmic manifestations.
DESIGN: Interventional case report.
RESULTS: A 70-year-old male presenting with right-sided proptosis, injection, and choroidal effusions with a completely quiet fellow eye was found to have a left-sided dural arteriovenous fistula. After recognition on cerebral angiography, successful endovascular embolization was achieved, along with complete resolution of the contralateral ocular signs.
CONCLUSIONS: Entirely unilateral ocular signs suggestive of an intracranial arteriovenous fistula may herald the presence of a contralateral vascular lesion.
DESIGN: Interventional case report.
RESULTS: A 70-year-old male presenting with right-sided proptosis, injection, and choroidal effusions with a completely quiet fellow eye was found to have a left-sided dural arteriovenous fistula. After recognition on cerebral angiography, successful endovascular embolization was achieved, along with complete resolution of the contralateral ocular signs.
CONCLUSIONS: Entirely unilateral ocular signs suggestive of an intracranial arteriovenous fistula may herald the presence of a contralateral vascular lesion.
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