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Down but not out.

Abstract
A 20-year-old Hispanic man with Down syndrome presented with progressively worsening headache, fluctuating decreased vision, and bilateral optic disk edema. Magnetic resonance imaging of the head showed an empty sella, and magnetic resonance venography showed thrombosis of left transverse and sigmoid sinuses. Catheter angiography angiogram showed a dural arteriovenous fistula in the wall of left transverse and sigmoid sinuses. The patient underwent Onyx endovascular embolization of the fistula, resulting in its angiographic obliteration, followed by resolution of his clinical signs and symptoms.
AuthorsJames D Kim, Charlene Crockett, Orlando Diaz, Andrew G Lee, Neil R Miller
JournalSurvey of ophthalmology (Surv Ophthalmol) 2013 Nov-Dec Vol. 58 Issue 6 Pg. 644-51 ISSN: 1879-3304 [Electronic] United States
PMID23453400 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2013 Elsevier Inc. All rights reserved.
Topics
  • Central Nervous System Vascular Malformations (diagnosis, therapy)
  • Cerebral Angiography
  • Cranial Sinuses (pathology)
  • Down Syndrome (complications)
  • Embolization, Therapeutic
  • Headache (diagnosis)
  • Humans
  • Intracranial Hypertension (diagnosis)
  • Intracranial Thrombosis (diagnosis, therapy)
  • Magnetic Resonance Angiography
  • Male
  • Papilledema (diagnosis, therapy)
  • Vision Disorders (diagnosis)
  • Young Adult

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