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伴有对侧眼部表现的复杂间接性颈内动脉海绵窦瘘

Complex Indirect Carotid-Cavernous Fistula With Contralateral Ophthalmic Manifestations.

作者信息

Mohammad Razali Amirah, Sobri Mohammad Jazli, Fuad Muhammad Khairul Adha, Abdul Rashid Anna Misyail, Md Noh Mohamad Syafeeq Faeez

机构信息

Ophthalmology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.

Ophthalmology, Hospital Sultan Abdul Aziz Shah, Universiti Putra Malaysia, Serdang, MYS.

出版信息

Cureus. 2024 Nov 14;16(11):e73670. doi: 10.7759/cureus.73670. eCollection 2024 Nov.

DOI:10.7759/cureus.73670
PMID:39677153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11645732/
Abstract

A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare. We report a 79-year-old lady with underlying hypertension and dyslipidemia, who had a complex indirect CCF from the right internal and right external carotid artery, draining into the left ophthalmic vein and giving rise to left ocular manifestation. Endovascular embolization was attempted but was unsuccessful. The patient subsequently developed a stroke one day post-procedure, with a favorable recovery of function.

摘要

颈动脉海绵窦瘘(CCF)是指颈动脉与海绵窦之间存在异常交通。对于间接性CCF,通常发生在绝经后女性。间接性CCF出现对侧症状的情况较为罕见。我们报告一例79岁女性患者,有高血压和血脂异常病史,其右侧颈内动脉和颈外动脉形成复杂的间接性CCF,血液引流至左侧眼静脉,导致左侧眼部症状。尝试进行血管内栓塞治疗但未成功。患者在治疗后一天发生中风,功能恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/8152ec05ee20/cureus-0016-00000073670-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/c0db206ed476/cureus-0016-00000073670-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/50d33c414146/cureus-0016-00000073670-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/c2d3b02cbb3d/cureus-0016-00000073670-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/8152ec05ee20/cureus-0016-00000073670-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/c0db206ed476/cureus-0016-00000073670-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/50d33c414146/cureus-0016-00000073670-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/c2d3b02cbb3d/cureus-0016-00000073670-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c267/11645732/8152ec05ee20/cureus-0016-00000073670-i04.jpg

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本文引用的文献

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Surgical management of glaucoma secondary to indirect carotid-cavernous fistula: A case report.间接性颈内动脉海绵窦瘘继发青光眼的手术治疗:病例报告
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Carotid-cavernous fistula from the perspective of an ophthalmologist A Review.眼科医生视角下的颈动脉海绵窦瘘 综述
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Diagnosis and treatment of dural carotid-cavernous fistulas: a consecutive series of 27 patients.硬脑膜型颈内动脉海绵窦瘘的诊断与治疗:27例连续病例系列
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