伴有珍珠样静脉石的眼眶静脉曲张。病例报告。

Orbital varix with a pearly phlebolith. Case report.

作者信息

Kubota T, Kuroda E, Fujii T, Kawano H, Kabuto M, Hayashi M

机构信息

Department of Neurosurgery, Fukui Medical School, Japan.

出版信息

J Neurosurg. 1990 Aug;73(2):291-5. doi: 10.3171/jns.1990.73.2.0291.

DOI:10.3171/jns.1990.73.2.0291

PMID:2366087

Abstract

A patient is described with an orbital varix arising from the right superior ophthalmic vein, associated with ophthalmoplegia and severe pain, and without proptosis. The varix was detected using computerized tomography and orbital phlebography, and at surgery was verified as a venous aneurysm. During the operation, a pearly phlebolith was found. Histological examination of the varix revealed multiple ectatic venous channels. The etiology of this unusual clinical manifestation and the treatment of the patient are briefly discussed.

摘要

本文描述了一名患者，其右眼上静脉出现眶静脉曲张，伴有眼肌麻痹和剧痛，但无眼球突出。通过计算机断层扫描和眼眶静脉造影检测到静脉曲张，手术中证实为静脉瘤。手术过程中发现了一个珍珠样静脉石。对静脉曲张进行组织学检查，发现多个扩张的静脉通道。简要讨论了这种不寻常临床表现的病因及该患者的治疗情况。