Kal Ali, Ercan Zeynep E, Duman Enes, Arpaci Enver
*Department of Ophthalmology, Baskent University, Konya †Department of Ophthalmology, Baskent University, Ankara ‡Department of Radiology §Department of Plastic and Reconstructive Surgery, Baskent University, Konya, Turkey.
J Craniofac Surg. 2015 Oct;26(7):e653-5. doi: 10.1097/SCS.0000000000002131.
The combination of abducens nerve palsy and ipsilateral Horner syndrome was first described by Parkinson and considered as a localizing sign of posterior cavernous sinus lesions. The authors present a case with right abducens nerve palsy with ipsilateral Horner syndrome in a patient with carotid-cavernous fistula because of head trauma. The patient was referred to the ophthalmology clinic with diplopia complaint after suffering a head trauma during a motorcycle accident. Cerebral angiography showed low-flow carotid-cavernous fistula.
展神经麻痹与同侧霍纳综合征的组合最早由帕金森描述，并被视为海绵窦后部病变的定位体征。作者报告了一例因头部外伤导致颈动脉海绵窦瘘的患者，出现右侧展神经麻痹伴同侧霍纳综合征。该患者在摩托车事故中头部受伤后，因复视症状被转诊至眼科诊所。脑血管造影显示为低流量颈动脉海绵窦瘘。
