Chang Chien-Ming, Cheng Chi-Sheng
Oral & Maxillofacial Surgery, Department of Dentistry, Taichung Veterans General Hospital, No. 1650 Taiwan Boulevard, Sec. 4., Taichung, Taiwan.
Br J Oral Maxillofac Surg. 2013 Dec;51(8):e296-8. doi: 10.1016/j.bjoms.2013.07.009. Epub 2013 Aug 16.
Carotid-cavernous sinus fistula is an arteriovenous fistula between the internal carotid artery and the cavernous sinus, and is usually caused by a traumatic tear or a ruptured aneurysm of the cavernous segment of the internal carotid artery. We describe a rare case of delayed intracranial haemorrhage and carotid-cavernous sinus fistula that presented 3 weeks after fracture of the facial bones. The patient developed orbital apex syndrome including ptosis of upper eyelid, pulsatile exophthalmos, chemosis, loss of ocular motility, monocular blindness on the right, and numbness of the right infraorbital region. After transcatheter intra-arterial embolisation, the ptosis and chemosis improved.
颈动脉海绵窦瘘是颈内动脉与海绵窦之间的动静脉瘘，通常由颈内动脉海绵窦段的外伤性撕裂或动脉瘤破裂引起。我们描述了1例罕见的面部骨骼骨折3周后出现的迟发性颅内出血和颈动脉海绵窦瘘病例。患者出现眶尖综合征，包括上睑下垂、搏动性眼球突出、球结膜水肿、眼球运动丧失、右眼单眼失明和右眶下区域麻木。经导管动脉内栓塞治疗后，上睑下垂和球结膜水肿有所改善。
