Prior Alessandro, Allegretti Luca, Melloni Ilaria, Bovio Marta, Laganà Francesco, Ceraudo Marco, Zona Gianluigi
Clinica Neurochirurgica e Neurotraumatologica, IRCCS Policlinico San Martino, Largo Rosanna Benzi, 10, 16132, Genoa, Italy.
U.O. Neuroradiologia, IRCCS Policlinico San Martino, Genoa, Italy.
Acta Neurochir (Wien). 2018 May;160(5):913-917. doi: 10.1007/s00701-018-3486-z. Epub 2018 Feb 14.
We present a case of ophthalmic artery (OA) traumatic avulsion, leading to a post-traumatic subarachnoid hemorrhage (SAH) with ventricular blood invasion and hydrocephalus, mimicking an internal carotid aneurysm rupture. This is the third case of such an event reported in literature and the first without orbital fractures and optic nerve avulsion. Conservative treatment was sufficient for the avulsion, but surgery was needed for the coexisting eye luxation. Traumatic OA avulsion is a rare but possible event and should be suspected in case of basal cisterns SAH, evidence of orbital trauma and CT angiogram or angiographic absence of opacification of the OA.
我们报告一例眼动脉（OA）外伤性撕脱病例，该病例导致创伤后蛛网膜下腔出血（SAH）伴脑室积血和脑积水，酷似颈内动脉瘤破裂。这是文献报道的第三例此类事件，也是首例无眼眶骨折和视神经撕脱的病例。对于撕脱，保守治疗就足够了，但对于同时存在的眼球脱位则需要手术治疗。外伤性OA撕脱是一种罕见但有可能发生的情况，在出现基底池SAH、眼眶创伤证据以及CT血管造影或血管造影显示OA不显影的情况下应怀疑此病。
