Brain Drain Strain (Pathology)

Blurred vision OU; Headache; MalaiseA 55-year old female with complaints of bilateral blurred vision, headaches and general malaise of a 1-year duration. Previous history significant for left occipital dural ateriovenous malformation, cerebral hemorrhage and left hemiplegia.VA: 20/25 OD, 20/40 OS; Color vision: Control plate only OUCT; MRICerebral venous hypertension secondary to stenosis of the transverse venous sinuses.Radiosurgery; IV glucocorticoids; Anticonvulsants1. Bousson V, Brunereau L, Vahedi K, Chapot R. Intracranial dural fistula as a cause of diffuse MR enhancement of the cervical spinal cord. J Neurol Neurosurg Psychiatry 1999;67:227-30. 2. Cognart C, Houdart E, Casasco A, Gabrillargues J, Chiras J, Merland JJ. Long-term changes in intracranial dural arteriovenous fistulae leading to worsening in the type of venous drainage. Neuroradiology 1997;39:59-66. 3. Cognart C, CasascoA, Toevi M. Houdart E, Gabrillargues J. Chiras J. Merland JJ. Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow. J Neurol Neurosurg Psychiatry 1998;65:308-16. 4. Kupersmith MJ, Berenstein A, Nelson PK, Simon HT, Setton A. Visual symptoms with dural arteriovenous malformations draining into the occipital veins. Neurology 1999;52:156-62. 5. Pollock BE, Lunsford D, Kondziolka D, Bissonette DJ, Flickinger JC. Stereotactic radiosurgery for postgeniculate visual pathway arteriovenous malformations. J Neurosurg 1996;84:437-41