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创伤后颈内动脉海绵窦瘘

Post-traumatic carotid-cavernous fistula.

作者信息

Bertolini Giacomo, Capurri Giulia, Menozzi Roberto

机构信息

Neurosurgery Unit, Head and Neck Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.

Neuroradiology Unit, Diagnostic Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.

出版信息

Neurol Sci. 2024 Mar;45(3):1319-1320. doi: 10.1007/s10072-023-07183-z. Epub 2023 Nov 23.

Abstract

A 28-year-old woman who suffered a head injury 2 months before presented with a history of progressive right eye proptosis, ophthalmoplegia, and conjunctival injection. The radiological workup with a magnetic resonance imaging of the brain and cerebral angiography revealed a direct, high-flow, right post-traumatic carotid-cavernous fistula. An endovascular procedure was performed, and the carotid-cavernous fistula was successfully occluded with a progressive resolution of the complained symptoms.

摘要

一名28岁女性,2个月前头部受伤,现出现右眼进行性突出、眼肌麻痹和结膜充血。脑部磁共振成像和脑血管造影的影像学检查显示为直接的、高流量的右侧创伤后颈动脉海绵窦瘘。进行了血管内介入治疗,颈动脉海绵窦瘘成功闭塞,所诉症状逐渐缓解。

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