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  • Title: Direct orbital puncture of the cavernous sinus for the treatment of a carotid-cavernous dural AV fistula with a concomitant venous/lymphatic malformation.
    Author: Coumou AD, van den Berg R, Bot JC, Beetsma DB, Saeed P.
    Journal: Orbit; 2014 Feb; 33(1):68-71. PubMed ID: 24171663.
    Abstract:
    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.
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