眶内动静脉畸形的自发性出血。
Spontaneous hemorrhage in an intraorbital arteriovenous malformation.
作者信息
Moin M, Kersten R C, Bernardini F, Kulwin D, Biddinger P W, Ernst R J, Khouri L M
机构信息
Department of Ophthalmology, University of Cincinnati, Cincinnati, Ohio, USA.
出版信息
Ophthalmology. 2000 Dec;107(12):2215-9. doi: 10.1016/s0161-6420(00)00386-9.
OBJECTIVE
To report the clinical findings and management of spontaneous hemorrhage in an unsuspected intraorbital arteriovenous malformation.
DESIGN
Interventional case report.
METHODS
Review of clinical findings, radiologic studies, and treatment of the patient.
RESULTS
A 75-year-old woman sought treatment for the rapid onset of severe proptosis. Orbital exploration of a "mass" imaged on computed tomography scan and magnetic resonance imaging resulted in massive intraoperative hemorrhage. Subsequent arteriographic and histopathologic analysis confirmed an underlying orbital arteriovenous malformation.
CONCLUSIONS
Spontaneous intraorbital hemorrhage from an arteriovenous malformation is extremely rare, but should be considered in the differential diagnosis of rapidly progressive proptosis.
目的
报告一例未被怀疑的眶内动静脉畸形自发性出血的临床发现及处理。
设计
介入病例报告。
方法
回顾该患者的临床发现、影像学检查及治疗情况。
结果
一名75岁女性因严重突眼迅速发作前来就诊。对计算机断层扫描和磁共振成像显示的“肿块”进行眼眶探查时，术中发生大量出血。随后的血管造影和组织病理学分析证实存在潜在的眶内动静脉畸形。
结论
动静脉畸形引起的眶内自发性出血极为罕见，但在快速进展性突眼的鉴别诊断中应予以考虑。
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