Lylyk P, Viñuela F, Campos J, Fox A J, Pelz D M, Debrun G, Drake C G
Department of Diagnostic Radiology, University Hospital, University of Western Ontario, London, Canada.
Acta Radiol Suppl. 1986;369:584-5.
One hundred and twenty-eight lesions of the cavernous sinus were diagnosed and treated by endovascular embolization alone or combined with postembolization surgery. All patients presented with acute or subacute cavernous sinus syndrome. A complete angiographic evaluation included bilateral internal and external carotid and vertebral angiography. A total of 88 carotid-cavernous (c-c) fistulae (68 traumatic and 20 spontaneous) and 40 giant aneurysms were demonstrated. A complete anatomic cure or satisfactory clinical improvement was seen in 67 of 68 traumatic fistulae, in 14 of 20 spontaneous c-c fistulae and in 38 of 40 giant intracavernous aneurysms. An overall 15 per cent immediate and 2.7 per cent long-term morbidity with one death was observed. The technical and clinical complications involving endovascular therapy of each specific intracavernous vascular lesion are analyzed.
128例海绵窦病变通过单纯血管内栓塞或联合栓塞后手术进行诊断和治疗。所有患者均表现为急性或亚急性海绵窦综合征。完整的血管造影评估包括双侧颈内、颈外动脉及椎动脉造影。共发现88例颈内动脉海绵窦瘘（68例为外伤性，20例为自发性）和40例巨大动脉瘤。68例外伤性瘘中的67例、20例自发性颈内动脉海绵窦瘘中的14例以及40例海绵窦内巨大动脉瘤中的38例实现了完全解剖治愈或临床症状得到满意改善。观察到总体即时发病率为15%，长期发病率为2.7%，并有1例死亡。分析了涉及每种特定海绵窦血管病变血管内治疗的技术和临床并发症。
