Abstract:
Carotid cavernous fistula (CCF) is a condition with abnormal flow from the carotid artery to the cavernous sinus. The characteristic clinical findings are ophthalmic monoplegia, ptosis, exophthalmos, chemosis, Horner\'s syndrome, facial pain, loss of sensation in the distribution of the trigeminal nerve, and headache. Digital subtraction angiography (DSA) is the gold standard modality for evaluating CCF. An 18-year-old patient came with decreased bilateral visual acuity after a traffic accident. CT angiography was performed on the patient and found a dilated right superior ophthalmic vein. CCF is present in the patient. The DSA procedure was performed on the patient, and embolization was performed on the right ophthalmic vein. On post-embolization angiography, the tubular structure is no longer visible, which is bilateral superior ophthalmic vein dilatation.
摘要:
颈动脉海绵窦瘘(CCF)是从颈动脉到海绵窦的异常流量。特征性临床表现为眼科单瘫,上睑下垂,眼球突出,化疗,霍纳综合征,面部疼痛,三叉神经分布的感觉丧失,和头痛。数字减影血管造影(DSA)是评估CCF的金标准。一名18岁的患者在交通事故后双侧视力下降。对患者进行了CT血管造影,发现右眼上静脉扩张。CCF存在于患者体内。对患者进行DSA手术,对右眼静脉进行栓塞。在栓塞后的血管造影中,管状结构不再可见,双侧眼上静脉扩张。