Alan Nima, Nwachuku Enyinna, Jovin Tudor J, Jankowitz Brian T, Jadhav Ashutosh P, Ducruet Andrew F
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
World Neurosurg. 2017 Apr;100:710.e15-710.e20. doi: 10.1016/j.wneu.2017.01.112. Epub 2017 Feb 7.
Traumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.
创伤性颈内动脉海绵窦瘘可能作为急性卒中血管内治疗的并发症出现。我们报告3例此类病变。所有患者最初均采取保守治疗。2例患者仍无症状。1例患者在血栓切除术后3周出现右眼突出、球结膜水肿和右侧凝视复视等症状。他通过经股静脉途径经眼静脉进行了血管内栓塞治疗。
