Cahill D W, Rao K C, Ducker T B
Surg Neurol. 1981 Jul;16(1):17-22. doi: 10.1016/s0090-3019(81)80052-3.
A case of basilar skull fracture associated with palsies of the 3rd through 10th cranial nerves on the ipsilateral side is presented. Three months after the initial injury, despite return of significant ocular movement, proptosis and conjunctival congestion heralded the onset of an ipsilateral carotid-cavernous fistula. Angiography revealed the presence of a carotid-cavernous fistula; however, the ipsilateral carotid artery was occluded in the neck. A single pathophysiological mechanism is proposed to account for this unique series of events.
本文报告一例伴有同侧第3至10对颅神经麻痹的颅底骨折病例。初次受伤三个月后，尽管眼球运动有明显恢复，但眼球突出和结膜充血预示着同侧颈内动脉海绵窦瘘的发生。血管造影显示存在颈内动脉海绵窦瘘；然而，同侧颈动脉在颈部已闭塞。本文提出了一种单一的病理生理机制来解释这一系列独特的事件。
