Endo S, Ohtsuji T, Fukuda O, Oka N, Takaku A
Department of Neurosurgery, Toyama Medical & Pharmaceutical University, Japan.
Surg Neurol. 1989 Jul;32(1):59-63. doi: 10.1016/0090-3019(89)90037-2.
A case of intracavernous aneurysm secondary to septic cavernous sinus thrombosis demonstrating sequential dynamic angiographic changes is reported. Serial angiograms of a 32-year-old man with septic cavernous sinus infection revealed a normal study, stenosis, recovery of stenosis, and aneurysmal formation. Superficial temporal-middle cerebral artery anastomosis and internal carotid artery ligation were performed because of progressive ophthalmoplegia. Neurological deficit rapidly disappeared. Anigiographic changes and surgical treatment of septic cavernous sinus thrombosis are discussed.
报告了一例继发于化脓性海绵窦血栓形成的海绵窦内动脉瘤病例，该病例显示了连续的动态血管造影变化。一名患有化脓性海绵窦感染的32岁男性的系列血管造影显示，造影结果依次为正常、狭窄、狭窄恢复以及动脉瘤形成。由于进行性眼肌麻痹，实施了颞浅动脉-大脑中动脉吻合术和颈内动脉结扎术。神经功能缺损迅速消失。文中讨论了化脓性海绵窦血栓形成的血管造影变化及手术治疗。
