Monsein L H, Debrun G M, Miller N R, Nauta H J, Chazaly J R
Department of Radiology, Johns Hopkins Hospital, Baltimore, MD 21205.
AJNR Am J Neuroradiol. 1991 May-Jun;12(3):435-9.
Symptomatic patients with dural carotid-cavernous fistulas often require treatment. Traditional therapies, which often are not completely successful, include manual common carotid artery compression and embolization via transarterial routes. This report describes four symptomatic patients with spontaneous dural carotid-cavernous fistulas who were treated unsuccessfully with transarterial embolotherapy and subsequently treated successfully by having a detachable balloon introduced into the cavernous sinus via the superior ophthalmic vein, which was surgically exposed. The fistulas resolved without complications. Treatment of dural carotid-cavernous fistulas by means of the transvenous approach via the superior ophthalmic vein may be of benefit in selected patients.
有症状的硬脑膜颈动脉海绵窦瘘患者通常需要治疗。传统疗法往往并不完全成功，包括手动压迫颈总动脉和经动脉途径栓塞。本报告描述了4例有症状的自发性硬脑膜颈动脉海绵窦瘘患者，他们经动脉栓塞治疗未成功，随后通过经手术暴露的眼上静脉将可脱性球囊置入海绵窦而成功治愈。瘘管消失且无并发症。对于某些患者，经眼上静脉的经静脉途径治疗硬脑膜颈动脉海绵窦瘘可能有益。
