Grossman R I, Sergott R C, Goldberg H I, Savino P J, Zimmerman R A, Bilaniuk L T, Schatz N J, Bosley T M
AJNR Am J Neuroradiol. 1985 Sep-Oct;6(5):809-13.
Seven patients with proptosis, chemosis, diplopia, and elevated intraocular pressure were found to have dural arteriovenous malformations with drainage into the cavernous sinus and superior ophthalmic vein. These patients had sufficient symptoms to justify therapeutic embolization with polyvinyl alcohol. Five of seven patients had complete resolution of their ophthalmic symptoms after embolization; the other two had transient improvement. Follow-up was 9-29 months. When 50% or more of the vessels supplying a malformation were embolized, complete relief of symptoms was obtained. Particulate embolization is an effective therapeutic approach in patients with significant ophthalmologic symptoms from dural malformations.
7例出现眼球突出、结膜水肿、复视及眼压升高的患者被发现患有硬脑膜动静脉畸形，其引流至海绵窦和眼上静脉。这些患者的症状严重到足以证明用聚乙烯醇进行治疗性栓塞是合理的。7例患者中有5例在栓塞后眼部症状完全消失；另外2例有短暂改善。随访时间为9至29个月。当供应畸形的血管50%或更多被栓塞时，症状得到完全缓解。对于因硬脑膜畸形而出现明显眼科症状的患者，颗粒栓塞是一种有效的治疗方法。
