Seeger J F, Gabrielsen T O, Giannotta S L, Lotz P R
AJNR Am J Neuroradiol. 1980 Mar-Apr;1(2):141-8.
Radiographic signs of cavernous sinus thrombosis were found in eight consecutive patients with an angiographic diagnosis of carotid-cavernous sinus fistula; six were of the dural type and the ninth case was of a shunt from a cerebral hemisphere vascular malformation. Diagnostic features consisted of filling defects within the cavernous sinus and its tributaries, an abnormal shape of the cavernous sinus, an atypical pattern of venous drainage, and venous stasis. Progression of thrombosis was demonstrated in five patients who underwent follow-up angiography. Because of a high incidence of spontaneous resolution, patients with dural-cavernous sinus fistulas who show signs of venous thrombosis at angiography should be followed conservatively.
在连续8例经血管造影诊断为颈动脉海绵窦瘘的患者中发现了海绵窦血栓形成的影像学征象；其中6例为硬脑膜型，第9例为大脑半球血管畸形分流所致。诊断特征包括海绵窦及其分支内的充盈缺损、海绵窦形态异常、静脉引流模式不典型以及静脉淤滞。5例接受随访血管造影的患者显示血栓形成进展。由于自发缓解的发生率较高，对于在血管造影时显示静脉血栓形成迹象的硬脑膜海绵窦瘘患者，应采取保守随访。
