非惯常嫌疑人。
Not the usual suspect.
机构信息
Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA; Weill Cornell Medicine, Department of Ophthalmology, New York, New York, USA; Weill Cornell Medicine, Department of Neurology, New York, New York, USA; Weill Cornell Medicine, Department of Neurosurgery, New York, New York, USA.
Western University of Health Sciences, College of Osteopathic Medicine of the Pacific Northwest, Lebanon, Oregon, USA.
出版信息
Surv Ophthalmol. 2019 Mar-Apr;64(2):248-253. doi: 10.1016/j.survophthal.2017.10.001. Epub 2017 Oct 9.
An 82-year-old woman presented with right-sided proptosis, chemosis, and a supraorbital bruit. A dural carotid-cavernous fistula was suspected, but catheter angiography revealed an intraorbital inferior ophthalmic vein arteriovenous fistula supplied by the right ophthalmic artery and infraorbital branch of the internal maxillary artery. A primary orbital arteriovenous fistula can mimic the clinical and radiographic features of the more common carotid-cavernous fistula.
一位 82 岁女性因右侧眼球突出、球结膜水肿和眶上血管杂音而就诊。怀疑为硬脑膜颈动脉-海绵窦瘘，但导管血管造影显示右侧眼动脉和上颌内动脉眶下支供应的眶内下直肌静脉动静脉瘘。原发性眼眶动静脉瘘可模拟更常见的颈动脉-海绵窦瘘的临床和影像学特征。
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