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Normalisation of ocular pulse amplitude after embolisation of dural cavernous sinus arteriovenous fistula.
Klin Monbl Augenheilkd. 2004 May; 221(5):431-4.KM

Abstract

BACKGROUND

The difference in the ocular pulse amplitude between an individual's eyes may reflect abnormalities of the cerebrovascular circulation and has been shown to be helpful in assessing patients with cavernous sinus arteriovenous fistulas.

HISTORY AND SIGNS

A 71-year-old woman presented with episcleral injection, proptosis, bruit and retro-orbital pain on the left side. Ocular pulse amplitude as measured by dynamic contour tonometry was 4.38 +/- 1.23 mm Hg in the right and 9.57 +/- 2.71 mm Hg in the left eye. Angiography revealed the haemodynamics of a dural left cavernous sinus arteriovenous fistula.

THERAPY AND OUTCOME

Successful occlusion of the fistula was performed by transvenous embolisation. After embolisation, ocular pulse amplitude was 2.84 +/- 0.60 mm Hg in the right and 1.88 +/- 0.29 mm Hg in the left eye.

CONCLUSION

In this case of a dural arteriovenous fistula the ocular pulse amplitude as measured by dynamic contour tonometry parallels closely both clinical findings and neuroimaging.

Authors+Show Affiliations

Department of Ophthalmology, University of Zurich, Zurich, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15162300

Citation

Kaufmann, C, et al. "Normalisation of Ocular Pulse Amplitude After Embolisation of Dural Cavernous Sinus Arteriovenous Fistula." Klinische Monatsblatter Fur Augenheilkunde, vol. 221, no. 5, 2004, pp. 431-4.
Kaufmann C, Thiel MA, Valavanis A, et al. Normalisation of ocular pulse amplitude after embolisation of dural cavernous sinus arteriovenous fistula. Klin Monbl Augenheilkd. 2004;221(5):431-4.
Kaufmann, C., Thiel, M. A., Valavanis, A., & Landau, K. (2004). Normalisation of ocular pulse amplitude after embolisation of dural cavernous sinus arteriovenous fistula. Klinische Monatsblatter Fur Augenheilkunde, 221(5), 431-4.
Kaufmann C, et al. Normalisation of Ocular Pulse Amplitude After Embolisation of Dural Cavernous Sinus Arteriovenous Fistula. Klin Monbl Augenheilkd. 2004;221(5):431-4. PubMed PMID: 15162300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Normalisation of ocular pulse amplitude after embolisation of dural cavernous sinus arteriovenous fistula. AU - Kaufmann,C, AU - Thiel,M A, AU - Valavanis,A, AU - Landau,K, PY - 2004/5/27/pubmed PY - 2004/10/13/medline PY - 2004/5/27/entrez SP - 431 EP - 4 JF - Klinische Monatsblatter fur Augenheilkunde JO - Klin Monbl Augenheilkd VL - 221 IS - 5 N2 - BACKGROUND: The difference in the ocular pulse amplitude between an individual's eyes may reflect abnormalities of the cerebrovascular circulation and has been shown to be helpful in assessing patients with cavernous sinus arteriovenous fistulas. HISTORY AND SIGNS: A 71-year-old woman presented with episcleral injection, proptosis, bruit and retro-orbital pain on the left side. Ocular pulse amplitude as measured by dynamic contour tonometry was 4.38 +/- 1.23 mm Hg in the right and 9.57 +/- 2.71 mm Hg in the left eye. Angiography revealed the haemodynamics of a dural left cavernous sinus arteriovenous fistula. THERAPY AND OUTCOME: Successful occlusion of the fistula was performed by transvenous embolisation. After embolisation, ocular pulse amplitude was 2.84 +/- 0.60 mm Hg in the right and 1.88 +/- 0.29 mm Hg in the left eye. CONCLUSION: In this case of a dural arteriovenous fistula the ocular pulse amplitude as measured by dynamic contour tonometry parallels closely both clinical findings and neuroimaging. SN - 0023-2165 UR - https://www.unboundmedicine.com/medline/citation/15162300/Normalisation_of_ocular_pulse_amplitude_after_embolisation_of_dural_cavernous_sinus_arteriovenous_fistula_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-812855 DB - PRIME DP - Unbound Medicine ER -