Pedersen R A, Troost B T, Schramm V L
Arch Otolaryngol. 1981 May;107(5):307-9. doi: 10.1001/archotol.1981.00790410045012.
The occurrence of a carotid-cavernous sinus fistula following transethmoidal-sphenoid sinus surgery is unusual. The etiology of this complication is related to the variations in anatomic position of the carotid artery and in the thickness of bone overlying the artery in the lateral sinus wall. In the case reported herein, the clinical course was complicated by the development of cranial nerve palsies and ocular ischemia. The patient's symptoms worsened following an attempted to close the fistula with a microcatheter balloon and isobutyl-cyanoacrylate embolization. Dramatic improvement in the patient's condition was obtained by subsequent occlusion of the carotid artery on the side of the fistula with a microcatheter balloon.
经筛窦 - 蝶窦手术后发生颈动脉海绵窦瘘并不常见。这种并发症的病因与颈动脉解剖位置的变异以及外侧窦壁上覆盖动脉的骨厚度有关。在本文报道的病例中，临床过程因颅神经麻痹和眼部缺血的发展而复杂化。在尝试用微导管球囊和异丁基 - 氰基丙烯酸酯栓塞来闭合瘘管后，患者症状恶化。随后通过用微导管球囊闭塞瘘管侧的颈动脉，患者状况得到显著改善。
