PDF(Pubmed)
Abstract：
UNASSIGNED: Carotid-cavernous fistulas (CCFs) are often underdiagnosed or misdiagnosed. In polytraumatized patients, the focus is primarily on treating potentially life-threatening conditions such as increased intracranial pressure and hemorrhages. This case report aims to identify common diagnostic mistakes in rare pathologies.
UNASSIGNED: We present a case of a young female patient who was admitted to the emergency room after a motorbike accident. The patient\'s vital parameters were successfully stabilized, and she spent approximately four weeks in the ICU and neurosurgical ward. The patient exhibited limited communication, ophthalmoplegia, and a swollen, red left eye. After four weeks, the patient\'s parents initiated admission to our department due to the suspicious red swollen eye. Angiography revealed a complete rupture of the internal carotid artery (ICA) into the cavernous sinus, and occlusion of the ICA showed significant improvement in the eye edema and the patient\'s mental state. Two days later, the patient was able to communicate with complex sentences. Three months after the occlusion, the patient showed positive progress, posting dancing videos on TikTok.
UNASSIGNED: A carotid-cavernous fistula presenting with a red swollen eye can be misdiagnosed as retrobulbar hematoma or conjunctivitis. Failure to recognize and treat it promptly can lead to severe morbidity.
UNASSIGNED: We present a case of a young female patient who was admitted to the emergency room after a motorbike accident. The patient\'s vital parameters were successfully stabilized, and she spent approximately four weeks in the ICU and neurosurgical ward. The patient exhibited limited communication, ophthalmoplegia, and a swollen, red left eye. After four weeks, the patient\'s parents initiated admission to our department due to the suspicious red swollen eye. Angiography revealed a complete rupture of the internal carotid artery (ICA) into the cavernous sinus, and occlusion of the ICA showed significant improvement in the eye edema and the patient\'s mental state. Two days later, the patient was able to communicate with complex sentences. Three months after the occlusion, the patient showed positive progress, posting dancing videos on TikTok.
UNASSIGNED: A carotid-cavernous fistula presenting with a red swollen eye can be misdiagnosed as retrobulbar hematoma or conjunctivitis. Failure to recognize and treat it promptly can lead to severe morbidity.
摘要：
■颈动脉海绵窦瘘（CCF）常被误诊或误诊。在多发性创伤患者中，重点主要是治疗可能危及生命的疾病,如颅内压升高和出血.本病例报告旨在确定罕见病理中常见的诊断错误。
我们介绍了一个年轻的女性患者，她在一次摩托车事故后被送进急诊室。病人的生命参数成功稳定,她在ICU和神经外科病房呆了大约4周.患者表现出有限的沟通，眼肌麻痹,和肿胀，红左眼四周后,由于可疑的红肿眼睛，患者的父母开始入院。血管造影显示颈内动脉（ICA）完全破裂进入海绵窦，ICA和闭塞显示眼部水肿和患者的精神状态显着改善。两天后,患者能够用复杂的句子进行交流。闭塞三个月后，病人表现出积极的进展，在TikTok上发布舞蹈视频。
■表现为红肿的颈动脉海绵窦瘘可误诊为球后血肿或结膜炎。未能及时识别和治疗可导致严重的发病率。
我们介绍了一个年轻的女性患者，她在一次摩托车事故后被送进急诊室。病人的生命参数成功稳定,她在ICU和神经外科病房呆了大约4周.患者表现出有限的沟通，眼肌麻痹,和肿胀，红左眼四周后,由于可疑的红肿眼睛，患者的父母开始入院。血管造影显示颈内动脉（ICA）完全破裂进入海绵窦，ICA和闭塞显示眼部水肿和患者的精神状态显着改善。两天后,患者能够用复杂的句子进行交流。闭塞三个月后，病人表现出积极的进展，在TikTok上发布舞蹈视频。
■表现为红肿的颈动脉海绵窦瘘可误诊为球后血肿或结膜炎。未能及时识别和治疗可导致严重的发病率。
