DIBINEM - Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy.
UOC Neurochirurgia, IRCSS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
BMJ Case Rep. 2024 Aug 19;17(8):e260333. doi: 10.1136/bcr-2024-260333.
Carotid-cavernous fistulas (CCFs) are rare intracranial vascular malformations. Among the various classifications available, the most recently proposed highlights the strong correlation between venous drainage pattern and clinical presentation. We present the case of a woman in her 70s with a history of transient palsy of the fourth cranial nerve who presented with subacute cervical myelopathy, which was caused by a CCF with venous drainage into the peribulbar and perimedullary plexus.Given this atypical presentation of CCF and the diagnostic challenges it poses, we conducted a comprehensive PubMed search looking for CCFs presenting with cervical myelopathy and our results confirmed their rarity and allowed us to identify clinical elements that may help clinicians diagnose and manage this potentially treatable condition.
颈动脉海绵窦瘘（CCFs）是一种罕见的颅内血管畸形。在现有的各种分类中，最近提出的分类强调了静脉引流模式与临床表现之间的强相关性。我们报告了一例 70 多岁的女性患者，有第四颅神经短暂麻痹的病史，表现为亚急性颈髓病，由 CCF 引起，静脉引流至球旁和脊髓髓周丛。鉴于 CCF 的这种非典型表现及其带来的诊断挑战，我们进行了全面的 PubMed 检索，寻找表现为颈髓病的 CCF，我们的结果证实了它们的罕见性，并确定了可能有助于临床医生诊断和治疗这种潜在可治疗疾病的临床要素。
