Turjman F, Bascoulergue Y, Rosenberg M, Laharotte J C, Tournut P, Duquesnel J
Service de Neuroradiologie, Hôpital Neurologique et Neurochirurgical P. Wertheimer, Lyon.
J Neuroradiol. 1992 Dec;19(4):256-70.
We report ten cases of dural fistulae of the cavernous sinus treated by the endovascular route. The fistulae were fed by the internal and external carotid arteries. All patients presented with ophthalmic symptoms and/or headache and/or intracranial murmur. Embolization was decided on the ground of all in visual acuity, exophthalmos, ophthalmoplegia or sudden exacerbation of clinical symptoms. It was performed after selective catheterization of external carotid feeders with non-resorbable particles. The shunt was totally occluded in 7 cases, and local signs were improved in all patients: the intracranial murmur disappeared in 2 out of 4 cases and headache was relieved in 2 out of 3 cases. No permanent complication was observed. Among the various possible treatments of these dural fistulae, embolization of branches of the external carotid artery is a simple, effective and safe method, provided its principles and indications are respected.
我们报告了10例经血管内途径治疗的海绵窦硬脑膜动静脉瘘病例。这些瘘由颈内动脉和颈外动脉供血。所有患者均有眼部症状和/或头痛和/或颅内杂音。根据视力、眼球突出、眼肌麻痹或临床症状突然加重等综合情况决定进行栓塞治疗。在对颈外动脉供血支进行选择性插管后，使用不可吸收颗粒进行栓塞。7例分流完全闭塞，所有患者的局部体征均有改善：4例中有2例颅内杂音消失，3例中有2例头痛缓解。未观察到永久性并发症。在这些硬脑膜动静脉瘘的各种可能治疗方法中，只要遵循其原则和适应证，颈外动脉分支栓塞是一种简单、有效且安全的方法。
