Bussière Miguel, Lownie Stephen P, Pelz David M, Nicolle David
Division of Neuroradiology, Department of Diagnostic Radiology and Nuclear Medicine, London Health Sciences Centre, London, Ontario, Canada.
J Neuroophthalmol. 2009 Mar;29(1):21-5. doi: 10.1097/WNO.0b013e31818e3db9.
A 39-year-old man who presented with unilateral proptosis and periocular pain rapidly developed reduced consciousness, facial numbness, dysarthria, and gait ataxia from a direct carotid-cavernous fistula (CCF) with drainage into posterior fossa veins. Brain MRI revealed abnormal signal throughout the brainstem, indicative of venous hypertension and edema. Closure of the fistula by detachable balloon eliminated the clinical and imaging abnormalities. This is the fifth reported case of brainstem complications of a direct CCF. It highlights potentially serious complications of this condition and their reversibility with prompt treatment.
一名39岁男性，因单侧眼球突出和眼周疼痛就诊，迅速出现意识减退、面部麻木、构音障碍和步态共济失调，病因是直接型颈动脉海绵窦瘘（CCF）并向后颅窝静脉引流。脑部MRI显示整个脑干有异常信号，提示静脉高压和水肿。用可脱性球囊封闭瘘口消除了临床和影像学异常。这是第五例报告的直接型CCF脑干并发症病例。它突显了这种疾病潜在的严重并发症以及及时治疗后的可逆性。
