伴有双侧眼球突出、酷似海绵窦血栓形成的创伤后颈内动脉海绵窦瘘
Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis.
作者信息
Kasturi Nirupama, Kumari Pooja, Nagarajan Gayatri, Krishnan Nagarajan
机构信息
Ophthalmology, JIPMER, Puducherry, India.
Radiodiagnosis, JIPMER, Puducherry, India.
出版信息
BMJ Case Rep. 2019 Mar 31;12(3):e227757. doi: 10.1136/bcr-2018-227757.
Abstract
A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3 days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. A subtle bruit was present on examination, and digital subtraction angiography revealed a right direct (type A) carotid-cavernous fistula (CCF). The patient underwent right coil embolisation of direct CCF. On follow-up at 4 months, her proptosis resolved completely and extraocular movements improved.
摘要
一名48岁女性在眼眶钝挫伤3天后出现双侧非搏动性眼球突出和眼肌麻痹。伴有发热、不适及右眼视力丧失。她被初步诊断为海绵窦血栓形成，并接受静脉抗生素治疗但无改善。检查时发现有轻微杂音，数字减影血管造影显示右侧直接（A型）颈内动脉海绵窦瘘（CCF）。该患者接受了右侧直接CCF的弹簧圈栓塞治疗。在4个月的随访中，她的眼球突出完全消退，眼球运动改善。
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