Two Cases of Oculomotor Nerve Palsy Due to Dural Carotid ?Cavernous Fistula

J Korean Neurol Assoc > Volume 13(3); 1995 > Article

Journal of the Korean Neurological Association 1995;13(3): 646-650.

Dural Carotid Cavernous Fistula에 의한 동안신경 마비 2례

곽용태, 박기철, 최병옥, 김동익, 선우일남

연세대학교 신경과. 진단 방사선과

Two Cases of Oculomotor Nerve Palsy Due to Dural Carotid ?Cavernous Fistula

Yong Tae Kwak, M.D., Ki Chul Park, M.D., Byung Ok Choi, M.D., Dong Ik Kim, M.D., Il Nam Sunwoo, M.D.

Department of Neurology and Di8agnostic Radiology, Yonsei University, College of Medicine

Abstract

Two patients were presented with painful unilateral oculomotor nerve palsy and one of them was combined with trochlear nerve palsy. First case was initially thought to have diabetic opthalmoplegia, and second case was thought to have posterior communicating or distal internal carotid aneurysms. But both had, in fact dural carotid cavernous fistula, draining posteriorly into inferior petrosal sinus. Embolization was done in these two cases, which was followed by clinical improvement in one case.