一例嘈杂性颧骨骨折——颈内动脉海绵窦瘘的并发症：经动脉弹簧圈栓塞术后单眼失明和眼球固定完全恢复

A noisy zygoma fracture--complication of carotid-cavernous sinus fistula: total recovery of monocular blindness and frozen-eye after endoarterial coil embolization.

作者信息

Bierenbroodspot F, Van Damme Ph A, Cruysberg J R M

机构信息

Department of Oral and Cranio-Maxillofacial Surgery, University Medical Centre Nijmegen, PO Box 9101, 6500 HB Nijmegen, The Netherlands.

出版信息

Int J Oral Maxillofac Surg. 2005 Mar;34(2):214-9. doi: 10.1016/j.ijom.2004.03.017.

DOI:10.1016/j.ijom.2004.03.017

PMID:15695055

Abstract

A case of a patient with a zygoma fracture in combination with a carotid-cavernous sinus fistula--an arterio-venous fistula between the internal carotid artery and the cavernous sinus--is presented. The most frequent cause is trauma, but the carotid-cavernous sinus fistula itself may have been the cause of trauma. The patient showed complete loss of ocular motility and total monocular blindness. Treatment of the fistula with endoarterial coil embolization was followed by improvement of vision and ocular motility, until finally complete recovery of ocular functions, which is exceptional. In this case, careful analysis of the MRA's showed that the CCSF most likely developed in the posttraumatic phase.

摘要

本文介绍了一例颧骨骨折合并颈内动脉海绵窦瘘（一种颈内动脉与海绵窦之间的动静脉瘘）的患者。最常见的病因是外伤，但颈内动脉海绵窦瘘本身也可能是外伤的原因。该患者出现眼球运动完全丧失和单眼全盲。采用动脉内弹簧圈栓塞治疗瘘口后，视力和眼球运动得到改善，最终眼球功能完全恢复，这种情况实属罕见。在该病例中，对磁共振血管造影（MRA）的仔细分析表明，颈内动脉海绵窦瘘很可能在创伤后阶段形成。