Derex L, Lion L, Nighoghossian N, Berthezene Y, Bascoulergue Y, Trouillas P
Service des Urgences Cérébrovasculaires et Centre de l'Ataxie, Hôpital Neurologique, Lyon.
Rev Neurol (Paris). 1997 May;153(4):275-7.
We report the case of a 54-year-old man without previous medical history who presented with sudden vertical diplopia and frontal headache. Clinical examination and Lancaster's test were consistent with superior rectus muscle palsy. Brain CT scan, MRI and CSF examination were normal. Cerebral angiography revealed a dural arteriovenous fistula at the base of the anterior cranial fossa with bilateral arterial supply from small branches of the ophthalmic artery. The causal relationship, the pathophysiology and the therapeutic approaches are discussed.
我们报告了一例54岁男性患者，既往无病史，出现突发垂直性复视和前额头痛。临床检查和兰卡斯特试验与上直肌麻痹相符。脑部CT扫描、MRI和脑脊液检查均正常。脑血管造影显示在前颅窝底部有一个硬脑膜动静脉瘘，由眼动脉的小分支提供双侧动脉供血。文中讨论了因果关系、病理生理学和治疗方法。
