J Korean Neurol Assoc > Volume 19(5); 2001 > Article

Journal of the Korean Neurological Association 2001;19(5): 520-525.

"뇌교와 대뇌의 진행성 정맥울혈로 발현된 해면정맥동 경막 동정맥루:1예 보고"

임수빈, 김종성이권이양*이최충곤

울산대학교 의과대학 신경과학교실,신경외과학교실*,진단방사선과학교실

"Dural Arteriovenous Fistula of the Cavernous Sinus Presenting with Progressive Venous Congestion of the Pons and Cerebrum: Report of one case"

"Soo-Bin Yim, M.D., Jong-Sung Kim, M.D., Yang Kwon,M.D.*, Choong-Gon Choi, M.D. †"

"Department of Neurology, Department of Neurosurgery* & Department of Diagnostic Radiology † , University of Ulsan college of Medicine, Asan Medical Center"

Abstract

"A 61-year-old woman with a left cavernous sinus dural arteriovenous fistula presented with left 6th nerve palsy. Initial brain MRI showed findings consistent with left-sided pontine infarction. Follow-up MRIs revealed an enlarged pontine lesion, and additional lesions in the right hippocampus, both basal ganglia and centrum semiovale mimicking a brain tumor or a demyelinating disease. We suggest that the MRI lesions are venous congestions caused by the shunting of blood flow from the left carotid artery into the venous system. J Korean Neurol Assoc 19(5):520~525, 2001 Key Words : Dural arteriovenous fistula of the cavernous sinus, Venous congestion or Brainstem edema, Angiography"