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A rare red eye: cavernous sinus dural arteriovenous fistula masquerading as conjunctivitis and sinusitis

Stuart Campbell, Emma Hack and Babu Philip
Med J Aust 2019; 210 (9): . || doi: 10.5694/mja2.50157
Published online: 20 May 2019

A 77‐year‐old woman with a background of hypertension, diet‐controlled type 2 diabetes and bilateral cataract surgery was referred by her general practitioner to the emergency department of the Royal Darwin Hospital with a progressive history of red eyes, lacrimation, rhinorrhoea and, more recently, diplopia. The patient first sought medical attention 6 weeks prior at symptom onset. Her GP had initially diagnosed and managed the presentation as sinusitis and, after failed resolution, as viral conjunctivitis. There was no history of trauma. Following onset of new diplopia, the patient was referred to hospital.


  • Royal Darwin Hospital, Darwin, NT



Competing interests:

No relevant disclosures.

  • 1. Wenderoth J. Novel approaches to access and treatment of cavernous sinus dural arteriovenous fistula (CS‐DAVF): case series and review of the literature. J Neurointerv Surg 2017; 9: 290–296.
  • 2. Miller NR. Dural carotid‐cavernous fistulas: epidemiology, clinical presentation, and management. Neurosurg Clin N Am 2012; 23: 179–192.
  • 3. Korkmazer B, Kocak B, Tureci E, et al. Endovascular treatment of carotid cavernous sinus fistula: a systematic review. World J Radiol 2013; 5: 143–155.
  • 4. Wenderoth J. Proposal for an improved classification system for cavernous sinus dural arteriovenous fistula (CS‐DAVF). J Neurointerv Surg 2017; 9: 220.
  • 5. Rodrigues T, Willinsky R, Agid R, et al. Management of dural carotid cavernous fistulas: a single‐centre experience. Eur Radiol 2014; 24: 3051–3058.

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