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A Case of Carotid Cavernous Fistula Presenting with “Delayed Red-Eyed Shunts”
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Ki Bum Sung, Won Hee Chung, Jeong Ho Park, Dae Ho Kim
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J Korean Bal Soc. 2006;5(2):307-310.
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 Abstract
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- Presenting symptoms of carotid cavernous fistulas (CCF) may vary according to the draining vessels. Prominent external orbito-ocular signs such as red eye, proptosis, ocular bruit occur, when the shunt drains anteriorly (“red-eyed shunts”), whereas an isolated ocular motor nerve palsy and headache can be the only presenting symptoms when it drains posteriorly (“white-eyed shunts”). Turning the eyes red from white eyed-shunt weeks to months (“delayed red-eyed shunts”) suggest the direction of fistula drainage shifted anteriorly; it has rarely been reported. We report a patient with delayed red-eyed shunts whose red eye resolved after chemical embolization of draining vessels.
Key Words : Carotid cavernous sinus fistula, Ocular motor nerve palsy
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A Case of Tolosa-Hunt Syndrome with Serial MRI Findings
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Jeong Ho Park, Won Hee Chung, Dae Ho Kim, Ki Bum Sung
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J Korean Bal Soc. 2006;5(1):74-77.
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Abstract
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- To diagnosis Tolosa-Hunt syndrome (TSH) used to be difficult because some other diseases like tumors, sarcoids, vasculitises or other inflammatory masses simulate the clinical manifestations, including steroid responsiveness and radiologic findings. According to the international classification of headache disorders 2nd edition, the diagnosis of THS requires demonstration of granuloma by MRI or biopsy. We performed MRI 4 times during 6 months in a patient who seemed to have THS. Initial MRI was normal but the second MRI showed granuloma which decreased gradually in size with steroid treatment.
Key Words : Tolosa-Hunt syndrome, Magnetic resonance imaging, Granuloma
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KBS
