[颈动脉海绵窦瘘患者的临床及超声检查结果]
[Clinical and sonographic examination findings in patients with carotid-cavernous sinus fistulas].
作者信息
Hübner L, Struffert T, Mardin C Y, Engelhorn T, Holbach L, Weller J, Hohberger B, Gusek-Schneider G
机构信息
Universitätsaugenklinik Erlangen, FAU Erlangen-Nürnberg, Erlangen, Deutschland.
Abteilung für Neuroradiologie, Justus-Liebig-Universität Gießen, Gießen, Deutschland.
出版信息
Ophthalmologe. 2021 Sep;118(9):919-925. doi: 10.1007/s00347-020-01310-3. Epub 2021 Jan 18.
BACKGROUND
Symptoms and clinical findings in patients with carotid-cavernous fistulas are specific. Nevertheless, they can be very mildly expressed. This study aims to point out the potential diagnostic value of ultrasound of the orbit.
METHODS
A total of 25 patients with a reliable angiographic diagnosis of a fistula were reviewed retrospectively. We analyzed the symptoms, clinical findings and demonstrability in ultrasound of the orbit.
RESULTS
The most common clinical findings were nerve palsy, dilation of episcleral vessels and exophthalmos. If an ultrasound had been part of the examination a dilation of the superior ophthalmic vein could be demonstrated in all cases.
CONCLUSION
The expeditious ultrasound investigation provides valuable information for the diagnosis of red eyes which are resistant to treatment. The examiner has to consider a fistula and perform an ultrasound especially when diplopia has newly occurred. Finally, the expedient neuroimaging can be arranged.
背景
海绵窦瘘患者的症状和临床体征具有特异性。然而，这些症状可能表现得非常轻微。本研究旨在指出眼眶超声的潜在诊断价值。
方法
回顾性分析了25例经可靠血管造影诊断为瘘管的患者。我们分析了眼眶超声检查中的症状、临床体征及可显示性。
结果
最常见的临床体征为神经麻痹、巩膜血管扩张和眼球突出。如果超声检查作为检查的一部分，在所有病例中均可显示眼上静脉扩张。
结论
快速的超声检查为诊断难治性红眼提供了有价值的信息。检查者必须考虑存在瘘管的可能，尤其当新出现复视时需进行超声检查。最后，可以安排合适的神经影像学检查。
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