Direct orbital puncture of the cavernous sinus for the treatment of a carotid-cavernous dural av fistula with a concomitant venous/lymphatic malformation

Adriaan D. Coumou*, René Van Den Berg, Joost C. Bot, Daan B. Beetsma, Peerooz Saeed

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


A 37-year old male with a long history of a left orbital venous/lympathic malformation presented with ocular injection, increased proptosis and reduced left vision. Angiography demonstrated a carotid cavernous dural AV fistula combined with a concomitant venous/lymphatic malformation. After attempts at transvenous embolization, a direct uncomplicated transorbital puncture of the cavernous sinus via a lateral orbitotomy was performed with complete resolution of ocular symptoms.

Original languageEnglish
Pages (from-to)68-71
Number of pages4
Issue number1
Publication statusPublished - Feb 2014

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