PMC8842071_01
(a) edema in the upper eyelid and conjunctiva of the left eye (b) fundoscopy and (c) the primary position was ortophoric, abduction and adduction were deficient in the left eye.
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F1
Although the primary position was ortophoric, abduction and adduction was deficient in the left eye (Fig. 1).
MRI findings in different sections.
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F2
In orbita MRI, there was an increase in retroorbital fat signal, enlargement in medial and lateral rectus muscles, and asymmetrical enlargement of the cavernous sinus in the left eye (Fig. 2) compatible with orbital pseudotumor.
Selective cerebral angiography shows rete type multiple feeders from (a) left internal maxillary, middle meningeal artery and (b) left internal carotid artery.
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F3
CCF with rete type multiple feeders from the left middle meningeal artery, internal maxillary artery and left internal carotid artery (Fig. 3). The patient was treated with the combination of a selective particle (PVA) and coil embolization in two separate sessions from external carotid artery feeders (Fig. 4). Clinical and MRI findings also regressed after treatment (Fig. 5).
Endovascular treatment of the fistula with the combination of the particle (PVA) and coil embolization from externally carotid artery feeders respectively in a, b and c.
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F4
CCF with rete type multiple feeders from the left middle meningeal artery, internal maxillary artery and left internal carotid artery (Fig. 3). The patient was treated with the combination of a selective particle (PVA) and coil embolization in two separate sessions from external carotid artery feeders (Fig. 4). Clinical and MRI findings also regressed after treatment (Fig. 5).
Regression in clinical (a, b) and MRI (c) findings after treatment.
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F5
CCF with rete type multiple feeders from the left middle meningeal artery, internal maxillary artery and left internal carotid artery (Fig. 3). The patient was treated with the combination of a selective particle (PVA) and coil embolization in two separate sessions from external carotid artery feeders (Fig. 4). Clinical and MRI findings also regressed after treatment (Fig. 5).