Ghanaati H, Motevalli M, Jalali A H, Firouznia K
Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Teheran University of Medical Sciences; Teheran, Iran -
Neuroradiol J. 2010 Mar;23(1):69-73. doi: 10.1177/197140091002300112. Epub 2010 Mar 8.
A 30-year-old woman with pulsating exophthalmia due to posttraumatic carotid-cavernous fistula underwent embolization with a detachable balloon. Because of balloon dislodgement, the drainage was derived to the superior ophthalmic vein and clinical worsening occurred. Complete ophthalmoplegia developed and visual acuity decreased. After a second embolization we inserted two balloons but the same findings were exaggerated. Finally coiling of the internal carotid artery was done and orbital decompression achieved. Ophthalmoplegia, proptosis, chemosis and nerve paralysis intraocular pressure improved.
一名因创伤后颈内动脉海绵窦瘘导致搏动性眼球突出的30岁女性接受了可脱性球囊栓塞治疗。由于球囊移位，引流改道至眼上静脉，临床症状恶化。出现了完全性眼肌麻痹，视力下降。第二次栓塞后，我们置入了两个球囊，但同样的情况更加严重。最后对颈内动脉进行了弹簧圈栓塞，并实现了眼眶减压。眼肌麻痹、眼球突出、球结膜水肿和神经麻痹性眼压均得到改善。
