d'Angelo V A, Monte V, Scialfa G, Fiumara E, Scotti G
Department of Neurosurgery, Niguarda Ca' Granda Hospital, Milano, Italy.
Surg Neurol. 1988 Nov;30(5):387-90. doi: 10.1016/0090-3019(88)90202-9.
Intracerebral hematoma associated with carotid-cavernous fistula is a rare occurrence. Based on a review of the literature and on the analysis of personal observation, the authors define as "high-risk fistula" a carotid-cavernous fistula at risk of intracerebral hemorrhage. Characteristic features of these are computed tomography demonstration of parenchymal vermicular enhancement of brain vessels, and an angiographic pattern of dilated and tortuous cerebral veins. When an intracerebral hemorrhage occurs in a patient with carotid-cavernous fistula an early but phased and combined neuroradiological-neurosurgical approach is suggested as the best way to treat this life-threatening situation.
与颈动脉海绵窦瘘相关的脑内血肿是一种罕见的情况。基于对文献的回顾和个人观察分析，作者将有脑出血风险的颈动脉海绵窦瘘定义为“高危瘘”。其特征性表现为计算机断层扫描显示脑实质内血管呈蠕虫状强化，以及血管造影显示脑静脉扩张迂曲。当颈动脉海绵窦瘘患者发生脑出血时，建议采用早期但分阶段的神经放射学 - 神经外科联合治疗方法，作为治疗这种危及生命情况的最佳方式。
