A rare case of traumatic arteriovenous fistula between middle meningeal artery and sphenoparietal sinus who presented with only chronic red eye and literature review

Seng Fai Tang, Wei Loon Ng, Umi Kalthum Md Noh, Mae-Lynn Catherine Bastion, Shahizon Azura MMuhamed ukari, Hazlita Mohd Isa

Research output: Contribution to journalArticle

Abstract

Traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement is very rare. It is usually associated with skull fracture and intracranial hemorrhage. Ocular manifestation as sole presentation is extremely rare and only a few cases have been reported. We report a case of traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement 2 months after head trauma, presenting with left eye redness and dilated corkscrew episcleral vessel. CT scan showed venous out flow disturbance of the cavernous sinus with dilated ophthalmic veins. Transarterial endovascular embolisation of the fistula was done successfully; clinical and 6 months MRA resolution was noted. In conclusion, patient with traumatic middle meningeal arteriovenous fistula into the sphenoparietal sinus can present solely with subtle ocular symptoms. Transarterial endovascular embolisation is an effective procedure to close the fistula as seen in this case.

Original languageEnglish
Pages (from-to)97-100
Number of pages4
JournalNeurology Asia
Volume21
Issue number1
Publication statusPublished - 1 Mar 2016

Fingerprint

Meningeal Arteries
Arteriovenous Fistula
Fistula
Eye Manifestations
Skull Fractures
Cavernous Sinus
Intracranial Hemorrhages
Craniocerebral Trauma
Veins

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

A rare case of traumatic arteriovenous fistula between middle meningeal artery and sphenoparietal sinus who presented with only chronic red eye and literature review. / Tang, Seng Fai; Ng, Wei Loon; Md Noh, Umi Kalthum; Bastion, Mae-Lynn Catherine; MMuhamed ukari, Shahizon Azura; Mohd Isa, Hazlita.

In: Neurology Asia, Vol. 21, No. 1, 01.03.2016, p. 97-100.

Research output: Contribution to journalArticle

Tang, Seng Fai ; Ng, Wei Loon ; Md Noh, Umi Kalthum ; Bastion, Mae-Lynn Catherine ; MMuhamed ukari, Shahizon Azura ; Mohd Isa, Hazlita. / A rare case of traumatic arteriovenous fistula between middle meningeal artery and sphenoparietal sinus who presented with only chronic red eye and literature review. In: Neurology Asia. 2016 ; Vol. 21, No. 1. pp. 97-100.
@article{220f1b036f5642dfb6284615b44f4933,
title = "A rare case of traumatic arteriovenous fistula between middle meningeal artery and sphenoparietal sinus who presented with only chronic red eye and literature review",
abstract = "Traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement is very rare. It is usually associated with skull fracture and intracranial hemorrhage. Ocular manifestation as sole presentation is extremely rare and only a few cases have been reported. We report a case of traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement 2 months after head trauma, presenting with left eye redness and dilated corkscrew episcleral vessel. CT scan showed venous out flow disturbance of the cavernous sinus with dilated ophthalmic veins. Transarterial endovascular embolisation of the fistula was done successfully; clinical and 6 months MRA resolution was noted. In conclusion, patient with traumatic middle meningeal arteriovenous fistula into the sphenoparietal sinus can present solely with subtle ocular symptoms. Transarterial endovascular embolisation is an effective procedure to close the fistula as seen in this case.",
author = "Tang, {Seng Fai} and Ng, {Wei Loon} and {Md Noh}, {Umi Kalthum} and Bastion, {Mae-Lynn Catherine} and {MMuhamed ukari}, {Shahizon Azura} and {Mohd Isa}, Hazlita",
year = "2016",
month = "3",
day = "1",
language = "English",
volume = "21",
pages = "97--100",
journal = "Neurology Asia",
issn = "1823-6138",
publisher = "ASEAN Neurological Association",
number = "1",

}

TY - JOUR

T1 - A rare case of traumatic arteriovenous fistula between middle meningeal artery and sphenoparietal sinus who presented with only chronic red eye and literature review

AU - Tang, Seng Fai

AU - Ng, Wei Loon

AU - Md Noh, Umi Kalthum

AU - Bastion, Mae-Lynn Catherine

AU - MMuhamed ukari, Shahizon Azura

AU - Mohd Isa, Hazlita

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement is very rare. It is usually associated with skull fracture and intracranial hemorrhage. Ocular manifestation as sole presentation is extremely rare and only a few cases have been reported. We report a case of traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement 2 months after head trauma, presenting with left eye redness and dilated corkscrew episcleral vessel. CT scan showed venous out flow disturbance of the cavernous sinus with dilated ophthalmic veins. Transarterial endovascular embolisation of the fistula was done successfully; clinical and 6 months MRA resolution was noted. In conclusion, patient with traumatic middle meningeal arteriovenous fistula into the sphenoparietal sinus can present solely with subtle ocular symptoms. Transarterial endovascular embolisation is an effective procedure to close the fistula as seen in this case.

AB - Traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement is very rare. It is usually associated with skull fracture and intracranial hemorrhage. Ocular manifestation as sole presentation is extremely rare and only a few cases have been reported. We report a case of traumatic middle meningeal arteriovenous fistula with sphenoparietal sinus involvement 2 months after head trauma, presenting with left eye redness and dilated corkscrew episcleral vessel. CT scan showed venous out flow disturbance of the cavernous sinus with dilated ophthalmic veins. Transarterial endovascular embolisation of the fistula was done successfully; clinical and 6 months MRA resolution was noted. In conclusion, patient with traumatic middle meningeal arteriovenous fistula into the sphenoparietal sinus can present solely with subtle ocular symptoms. Transarterial endovascular embolisation is an effective procedure to close the fistula as seen in this case.

UR - http://www.scopus.com/inward/record.url?scp=84962385766&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84962385766&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84962385766

VL - 21

SP - 97

EP - 100

JO - Neurology Asia

JF - Neurology Asia

SN - 1823-6138

IS - 1

ER -