Hemiparesis in carotid cavernous fistulas (CCFs): a case report and review of the literature  

作　　者：王慧晓 白如林 黄承光 卢亦成 张光霁 

机构地区：[1]Department of Neurosurgery, Changzheng Hospital, Shanghai 200021, China

出　　处：《Chinese Journal of Traumatology》2004年第5期317-320,共4页中华创伤杂志（英文版）

摘　　要：Carotid-cavernous fistulas (CCFs) are abnormal arteriovenous anastamoses between the carotid artery and the cavernous sinus. These fistulas may be classified by cause (spontaneous or traumatic), flow velocity (high or low), or pathogenesis (direct or indirect). The most commonly adopted classification is that described by Barrow based on arterial supply. Traumatic CCFs are almost always direct shunts between the internal carotid artery (ICA) and the cavernous sinus. General features of CCFs, which may be apparent with any lesion, including bruit, headache, loss of vision, altered mental status and neurological deficits. Some fistulae may present primarily with hemorrhage before any evaluation can be performed. However, hemiparesis has been rarely observed. Only a literature review of Murata et al reported a case of hemiparesis caused by posttraumatic CCF, in which the fistula resulted in venous hypertension and subsequent brainstem congestion. While in our case, cerebral infarction was caused by total steal of the blood flow. The patient recovered after occlusion of the fistula with a detachable balloon.

关 键 词：ADULT Balloon Occlusion Carotid-Cavernous Sinus Fistula Cerebral Angiography Craniocerebral Trauma Follow-Up Studies Humans MALE PARESIS Recovery of Function Risk Assessment Severity of Illness Index Tomography  X-Ray Computed Treatment Outcome Wounds  Nonpenetrating 

分 类 号：R651.12[医药卫生—外科学]