双侧视力丧失作为唯一表现使颈动脉海绵窦瘘病情复杂化。
Bilateral visual loss as a sole manifestation complicating carotid cavernous fistula.
作者信息
Yu Jeong-Keun, Hwang Gyojun, Sheen Seung Hun, Cho Yong-Jun
机构信息
Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, Korea.
出版信息
J Korean Neurosurg Soc. 2011 Apr;49(4):229-30. doi: 10.3340/jkns.2011.49.4.229. Epub 2011 Apr 30.
Abstract
Visual loss is one of the ocular symptoms resulting from a carotid cavernous fistula (CCF), but has rarely been reported as the sole manifestation in CCF. Visual impairment is known to be associated with a poor outcome unless timely intervention is employed. Herein, the authors report a patient with bilateral rapid progressing visual loss as a sole manifestation in CCF. Vision was successfully restored by transarterial embolization. The authors discuss the necessity of urgent fistula obliteration in patients with visual loss.
摘要
视力丧失是颈内动脉海绵窦瘘（CCF）导致的眼部症状之一，但很少有报道称其是CCF的唯一表现。已知视力损害若不及时干预，预后较差。在此，作者报告了1例以双侧快速进展性视力丧失为CCF唯一表现的患者。通过经动脉栓塞成功恢复了视力。作者讨论了视力丧失患者紧急闭塞瘘管的必要性。
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