Kohgo T, Kowada M, Momma F, Kikuchi K, Tamakawa Y
No Shinkei Geka. 1979 Feb;7(2):187-90.
A case of spontaneously cured carotid-cavernous fistula has been reported in details with a review of literatures. Seven cases verified by angiography have been described so far in the literature. Spontaneous cure has been revealed within 6 months after the initial examination in 5 out of 7 cases by follow up angiography, and has occurred in five women of middle age. The presented case was a 45 year-old female who has suffered from the exophthalmos associated with disturbed eye movements of two months duration. On January 2, 1977, the carotid angiography demonstrated a c--c fistula and an oval aneurysm of the middle cerebral artery on the right side. The exopthalmos was slowly decreased with the conservative treatment after two months. The c--c fistula was not demonstrated by the angiography carried out on March 10, 1977, and was not revealed thereafter by follow up studies.
本文详细报告了一例自发性治愈的颈内动脉海绵窦瘘病例,并对相关文献进行了综述。迄今为止,文献中已描述了7例经血管造影证实的病例。通过随访血管造影发现,7例中有5例在初次检查后6个月内实现了自发治愈,且均为中年女性。本文报道的病例为一名45岁女性,患有持续两个月的眼球突出并伴有眼球运动障碍。1977年1月2日,颈动脉血管造影显示右侧存在颈内动脉海绵窦瘘及大脑中动脉椭圆形动脉瘤。两个月后,经保守治疗眼球突出逐渐减轻。1977年3月10日进行的血管造影未显示颈内动脉海绵窦瘘,此后的随访研究也未发现该瘘。