Iwakawa J, Umehara F, Nishizawa T, Eiraku N, Osame M
Third Department of Internal Medicine, Kagoshima University School of Medicine.
Rinsho Shinkeigaku. 1996 Sep;36(9):1095-9.
A 62-year-old man was admitted because of progressive visual impairment since 2 months ago. Ophthalmological examination revealed impaired visual acuity with papillary edema in both eyes. Right carotid angiograms showed dural arteriovenous fistulas of the lateral sinus mainly fed by the right occipital artery. On the angiograms, the right transverse sinus was completely occluded. Endovascular embolization via jugular vein and via occipital artery was performed. Dural AVF disappeared and visual acuity was improved with normalized intracranial tension.
一名62岁男性因2个月前开始出现进行性视力损害而入院。眼科检查发现双眼视力受损并伴有视乳头水肿。右侧颈动脉血管造影显示外侧窦硬脑膜动静脉瘘,主要由右侧枕动脉供血。血管造影显示右侧横窦完全闭塞。通过颈静脉和枕动脉进行了血管内栓塞。硬脑膜动静脉瘘消失,视力改善,颅内压恢复正常。