Keltner J L, Satterfield D, Dublin A B, Lee B C
Department of Ophthalmology, University of California, Davis 95616.
Ophthalmology. 1987 Dec;94(12):1585-600. doi: 10.1016/s0161-6420(87)33258-0.
Carotid cavernous sinus fistulas (CCSFs) are a rare entity occurring as a result of head trauma and also spontaneously. The major threat from these fistulas is loss of vision. The authors reviewed 18 cases of direct and dural CCSFs seen over the last 10 years and compared our results with 553 cases treated in the literature. Seventy-one percent of our patients with direct CCSFs had successful balloon embolization. In the literature, successful closure of direct CCSFs has ranged from 58 to 100%. As experience with embolization techniques broadens, morbidity and mortality is reduced. The clinical features, diagnostic procedures, therapeutic options, and complications of treatment of CCSFs are discussed.
颈动脉海绵窦瘘（CCSFs）是一种罕见的病症，可由头部外伤引起，也可自发产生。这些瘘管的主要威胁是视力丧失。作者回顾了过去10年中见到的18例直接型和硬脑膜型颈动脉海绵窦瘘病例，并将我们的结果与文献中报道的553例治疗病例进行了比较。我们的直接型颈动脉海绵窦瘘患者中有71%成功进行了球囊栓塞。在文献中，直接型颈动脉海绵窦瘘的成功闭合率在58%至100%之间。随着栓塞技术经验的积累，发病率和死亡率有所降低。本文讨论了颈动脉海绵窦瘘的临床特征、诊断方法、治疗选择及治疗并发症。
