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. 2025 Oct 23;9(4):e70174.
doi: 10.1002/oto2.70174. eCollection 2025 Oct-Dec.

Cavernous Sinus Arteriovenous Fistula Presenting as Acute Third Nerve Palsy With Coexisting Sphenoid Sinusitis

Kuang-Chien Chiang  1 , Chung-Wei Lee  2 , Fu-Ren Xiao  3   4 , Chih-Feng Lin  4   5
Affiliations

Cavernous Sinus Arteriovenous Fistula Presenting as Acute Third Nerve Palsy With Coexisting Sphenoid Sinusitis

Kuang-Chien Chiang et al. OTO Open. .
No abstract available

Keywords: cavernous dural arteriovenous fistula; cerebral angiography; third nerve palsy.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Initial presentation: right ptosis and limited eye movements (A). T2‐weighted fat‐saturated magnetic resonance imaging (T2W‐FS MRI) shows left sphenoid sinusitis (left). Three‐dimensional time‐of‐flight magnetic resonance angiography (3D‐TOF MRA) reveals focal signal changes near the right cavernous sinus (arrow, right) (B).
Figure 2
Figure 2
Angiography shows feeders from the right internal maxillary (red arrow, left) and middle meningeal arteries (red arrow, right), draining into the right inferior petrosal vein (arrowhead) (A). Post‐embolization magnetic resonance angiography (MRA) shows no residual fistula (B).
See this image and copyright information in PMC

References

    1. Fang C, Leavitt JA, Hodge DO, Holmes JM, Mohney BG, Chen JJ. Incidence and etiologies of acquired third nerve palsy using a population‐based method. JAMA Ophthalmol. 2017;135:23‐28. 10.1001/jamaophthalmol.2016.4456 - DOI - PMC - PubMed
    1. Kung N, Van Stavern G. Isolated ocular motor nerve palsies. Semin Neurol. 2015;35:539‐548. 10.1055/s-0035-1563568 - DOI - PubMed
    1. Ellis JA, Goldstein H, Connolly ES Jr., Meyers PM. Carotid‐cavernous fistulas. Neurosurg Focus. 2012;32:E9. 10.3171/2012.2.FOCUS1223 - DOI - PubMed
    1. Kaufmann TJ, Huston J 3rd, Mandrekar JN, Schleck CD, Thielen KR, Kallmes DF. Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. Radiology. 2007;243:812‐819. 10.1148/radiol.2433060536 - DOI - PubMed
    1. El Mograbi A, Soudry E. Ocular cranial nerve palsies secondary to sphenoid sinusitis. World J Otorhinolaryngol Head Neck Surg. 2017;3:49‐53. 10.1016/j.wjorl.2017.02.001 - DOI - PMC - PubMed

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