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颈动脉海绵窦瘘及其与脊柱手术的关联:一例报告

Carotid Cavernous Fistula and Its Association With Spine Surgery: A Case Report.

作者信息

Sharkey Brandon, Kosco Ethan, Waack Andrew, Lucarelli Vito, Gabel Brandon C

机构信息

Division of Neurosurgery, The University of Toledo College of Medicine and Life Sciences, Toledo, USA.

Division of Neurosurgery, Department of Surgery, The University of Toledo College of Medicine and Life Sciences, Toledo, USA.

出版信息

Cureus. 2024 Dec 5;16(12):e75160. doi: 10.7759/cureus.75160. eCollection 2024 Dec.

DOI:10.7759/cureus.75160
PMID:39759693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11699881/
Abstract

A carotid cavernous fistula (CCF) is a disruption in the carotid arteries within the cavernous sinus. The pooling of blood in the sinus causes a myriad of neurological deficits. When correctly diagnosed, this condition can be easily managed through surgical intervention. However, its rareness and similarity in presentation to other neurological conditions allow for misdiagnosis and subsequent progression to permanent disability. Therefore, it is imperative to understand the unique clinical features and signs of CCFs. We report on the clinical workup, diagnosis, and treatment of the first documented case of a patient who developed a carotid cavernous fistula in conjunction with spine surgery.

摘要

颈动脉海绵窦瘘(CCF)是海绵窦内颈动脉的一种破裂。血液在窦内积聚导致多种神经功能缺损。正确诊断后,这种疾病可通过手术干预轻松治疗。然而,其罕见性以及在临床表现上与其他神经系统疾病的相似性,可能导致误诊以及随后发展为永久性残疾。因此,了解CCF独特的临床特征和体征至关重要。我们报告了首例记录在案的在脊柱手术过程中发生颈动脉海绵窦瘘患者的临床检查、诊断及治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/bd427c7ef1d6/cureus-0016-00000075160-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/280c173178a0/cureus-0016-00000075160-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/c8dc6d5279c1/cureus-0016-00000075160-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/8c413958e44f/cureus-0016-00000075160-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/b1879470bb29/cureus-0016-00000075160-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/bd427c7ef1d6/cureus-0016-00000075160-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/280c173178a0/cureus-0016-00000075160-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/c8dc6d5279c1/cureus-0016-00000075160-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/8c413958e44f/cureus-0016-00000075160-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/b1879470bb29/cureus-0016-00000075160-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c3/11699881/bd427c7ef1d6/cureus-0016-00000075160-i05.jpg

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本文引用的文献

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Indirect carotid-cavernous sinus fistula following mechanical thrombectomy: A case report of a rare iatrogenic injury with progressive presentation.机械取栓术后间接性颈内动脉海绵窦瘘:一例罕见的医源性损伤且呈进行性表现的病例报告
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Carotid-cavernous fistula: current concepts in aetiology, investigation, and management.
颈动脉海绵窦瘘:病因、检查和治疗的现代概念。
Eye (Lond). 2018 Feb;32(2):164-172. doi: 10.1038/eye.2017.240. Epub 2017 Nov 3.
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Carotid cavernous fistula masquerading as delayed suprachoroidal hemorrhage after trabeculectomy.伪装成小梁切除术后迟发性脉络膜上腔出血的颈动脉海绵窦瘘
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Carotid-cavernous sinus fistula after external ethmoid-sphenoid surgery. Clinical course and management.筛窦-蝶窦手术后的颈动脉海绵窦瘘。临床经过及处理
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