American Journal of Neuroradiology, Vol 16, Issue 1 171-174, Copyright © 1995 by American Society of Neuroradiology
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Anomalous intracranial venous drainage mimicking orbital or cavernous arteriovenous fistula
KE Tech, CJ Becker, A Lazo, TL Slovis and IM Rabinowicz
Department of Radiology, St John Hospital and Medical Center, Detroit, MI 48236.
A 9-year-old child presented with right eye swelling and bluish discoloration over the periorbital region. MR and CT displayed prominent vessels within the orbit and in the facial region, suggesting a carotid-cavernous fistula. Doppler ultrasound indicated the vascular engorgement was not secondary to a proximal arteriovenous shunt. Arteriography with its inherent time sequence image capability prompted the proper diagnosis of bilateral atresia of the sigmoid sinuses.
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