Eggenberger E, Lee A G, Forget T R, Rosenwasser R
Center for Clinical Neuroscience and Ophthalmology, Michigan State University, East Lansing, MI, USA.
Surv Ophthalmol. 2000 Sep-Oct;45(2):147-53. doi: 10.1016/s0039-6257(00)00144-2.
A 44-year-old woman presented with a painful abducens nerve palsy in the left eye. Examination revealed a white, quiet eye and an orbital bruit without proptosis. Magnetic resonance imaging demonstrated abnormal ipsilateral dural-based enhancement. Angiography confirmed a posterior draining carotid-cavernous fistula. Symptoms resolved spontaneously in approximately 8 months. The classification and treatment options for carotid-cavernous fistula are discussed.
一名44岁女性因左眼展神经麻痹伴疼痛就诊。检查发现患眼白色、安静,有眼眶杂音但无眼球突出。磁共振成像显示同侧硬脑膜有异常强化。血管造影证实为后引流型颈内动脉海绵窦瘘。症状在大约8个月后自行缓解。文中讨论了颈内动脉海绵窦瘘的分类和治疗选择。