Low Flow Dural Arteriovenous Shunt: Another Cause of “Sinister” Tolosa-Hunt Syndrome

Authors


Paul W. Brazis, M.D., Department of Neurology, Mayo Clinic Jacksonville,4500 San Pablo Road, Jacksonville, FL 32224.

Abstract

SYNOPSIS

A 73-year-old man developed acute, painful, ophthalmoplegia. The pain improved with oral steroids and a diagnosis of Tolosa-Hunt syndrome was made. Review of his angiogram revealed a low flow dural arteriovenous shunt that drained posteriorly. Dural arteriovenous shunts may thus be another cause of “sinister” Tolosa-Hunt syndrome.

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