颈动脉海绵窦瘘的临床及影像学诊断  

Clinical and imaging diagnosis of carotid cavernous sinus fistula

作　　者：韩新巍[1] 吴刚[1] 李永东[1] 邢古生[1] 马波[1] 

机构地区：[1]郑州大学第一附属医院放射科,河南郑州450052

出　　处：《医学影像学杂志》2005年第12期1027-1029,共3页Journal of Medical Imaging

摘　　要：目的:分析颈动脉海绵窦瘘的临床及影像学特征。方法:回顾性分析25例具有完整临床资料的颈动脉海绵窦瘘患者的临床、全脑血管造影及10例螺旋CT表现。结果:临床表现为颅内杂音、不同程度的搏动性突眼、眼球运动障碍,视力减退或伴有复视、结膜水肿和充血。CT表现为眼球突出、眼上静脉增粗、海绵窦扩大、密度增高、眼球边缘模糊、眼睑肿胀。全脑血管造影表现为对比剂自颈内动脉或颈外动脉分支溢入海绵窦,形成一团浓密的不规则阴影,海绵窦及眼静脉等早期显影而颈内动脉床突上段和大脑前、中动脉不易充盈,并且可观察到瘘口位置、大小及侧支循环情况。结论:根据颈动脉海绵窦瘘的临床表现和CT征象可以诊断颈动脉海绵窦瘘,脑血管造影是其诊断的金标准,并为进一步选择治疗方案提供依据。Objective：To analyze clinical and imaging manifestations of carotid cavernous sinus fistula （CCF）. Methods： Clinical findings and DSA manifestations in 25 cases with CCF were analyzed retrospectively, there were 10 eases aeeeping CT examination. Results： The main manifestations on CT were exophthalmus, enlarged cavernous sinus, engorged superior ophthalmic vein, swelling of eyelid and clouding of eyeball edge. Cerebral angiography showed CCF, in which direct communication of the internal carotid artery with the cavernous was seen early. The CCF emptied into the ipsilateral superior ophthalmic vein. The filling of the tributaries of ICA was poor. In the same time,we can see the site and sizes of the fistula and collateral circulation. Conclusion： CCF could be diagnosed according to clinical signifieances and CT findings initially. Cerebral angiography is the golden standard, which can help alternating the method of treatment in further.

关 键 词：海绵窦 动静脉瘘 体层摄影术 X线计算机 脑血管造影 

分 类 号：R814.42[医药卫生—影像医学与核医学] R743.4[医药卫生—放射医学]