Down but not out

James D. Kim, Charlene Crockett, Orlando Diaz, Andrew G. Lee, Neil R. Miller

Research output: Contribution to journalArticlepeer-review


A 20-year-old Hispanic man with Down syndrome presented with progressively worsening headache, fluctuating decreased vision, and bilateral optic disk edema. Magnetic resonance imaging of the head showed an empty sella, and magnetic resonance venography showed thrombosis of left transverse and sigmoid sinuses. Catheter angiography angiogram showed a dural arteriovenous fistula in the wall of left transverse and sigmoid sinuses. The patient underwent Onyx endovascular embolization of the fistula, resulting in its angiographic obliteration, followed by resolution of his clinical signs and symptoms.

Original languageEnglish (US)
Pages (from-to)644-651
Number of pages8
JournalSurvey of ophthalmology
Issue number6
StatePublished - Nov 2013


  • Cerebral venous sinus thrombosis
  • Dural arteriovenous malformation
  • Intracranial hypertension
  • Onyx embolization
  • Papilledema

ASJC Scopus subject areas

  • Ophthalmology


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