颈内动脉-海绵窦瘘的眼部表现及诊断分析  

Ocular Signs and Diagnosis Analysis of Internal Carotid Cavernous Fistula

作　　者：奚翠萍[1] 范寒桂[1] 柯敏[1] 

机构地区：[1]武汉大学中南医院眼科,武汉430071

出　　处：《武汉大学学报（医学版）》2005年第4期538-540,共3页Medical Journal of Wuhan University

摘　　要：目的:分析颈动脉海绵窦瘘引起眼部改变的临床特点,减少误诊。方法:对5例经脑血管造影证实为颈内动脉海绵窦瘘的患者从病史、眼部表现及特殊检查方面进行回顾性分析。结果:5例患者均有外伤史、眼球突出、球结膜充血水肿及眼球运动障碍。眶区闻及与脉搏一致的血管性杂音为颈内动脉海绵窦瘘的眼部特征性表现。结论:常规做眼球、前额、乳突部位的听诊,积极进行眼部多普勒探查,及时行DSA检查,可作出正确的诊断。Objective: To analyze the ocular signs of the internal carotid cavernous fistula (CCF) for avoiding misdiagnosis. Methods: Five cases of internal CCF verified by cerebral angiography were analyzed on the case history, clinical features in the eyes and special examinations. Results: Each case had trauma history and ocular signs such as exophthalmos, conjunctiva hyperemia and chemosis, and motor restriction was obvious. The vascular murmur in the orbital region identical with the pulse was the characteristic sign of the internal CCF. Conclusion: The auscultation on the eyelids, forehead and mastoid portion is necessary. Color Doppler flow imaging and DSA are useful examination methods for the diagnosis of CCF.

关 键 词：颈动脉海绵窦瘘 眼表现 诊断 

分 类 号：R771.3[医药卫生—眼科]