Hoops J P, Rudolph G, Schriever S, Nasemann J E, Bien S, Küffer G, Schworm H D, Kampik A
Augenklinik, Ludwig-Maximilians-Universität (LMU), München.
Klin Monbl Augenheilkd. 1997 Jun;210(6):392-7. doi: 10.1055/s-2008-1035081.
Carotid cavernous fistulas are cerebral artenovenous shunts which may present with ocular or orbital signs. Direct fistulas are distinguished from dural shunts with respect to the anatomical situation.
We report on two patients with spontaneous dural carotid cavernous fistulas with multiple feeding vessels. Both patients required endovascular embolization.
Therapy was successful in both patients. We present an overview of the clinical picture, the diagnostic procedure, the differential diagnosis and the therapeutic possibilities in this clinical entity.
Both patients prove the importance of an immediate differential diagnostical classification so that a specific neuroradiological diagnostic can be ensured. Today's advanced endovascular technology offers therapeutic options with less risk for the patient than in recent years.
颈动脉海绵窦瘘是一种可出现眼部或眼眶体征的脑动静脉分流。直接瘘在解剖位置上与硬脑膜分流有所不同。
我们报告了两名患有自发性硬脑膜颈动脉海绵窦瘘且有多个供血血管的患者。两名患者均需要进行血管内栓塞治疗。
两名患者的治疗均获成功。我们对该临床实体的临床表现、诊断过程、鉴别诊断及治疗可能性进行了综述。
两名患者均证实了立即进行鉴别诊断分类的重要性，以便确保进行特定的神经放射学诊断。与近年来相比，当今先进的血管内技术为患者提供了风险更低的治疗选择。
