海绵窦型硬脑膜动静脉瘘的眼部表现  

Ocular demonstration of cavernous dural arteriovenous fistulas

作　　者：张新秀 魏世辉[2] 

机构地区：[1]解放军461医院眼科,长春130021 [2]解放军总医院眼科

出　　处：《眼科》2008年第4期274-277,共4页Ophthalmology in China

基　　金：吴阶平医学基金(320-3700-06002)

摘　　要：目的探讨海绵窦型硬脑膜动静脉瘘引起眼部改变的特征,提高对该病的认识,减少误诊。设计回顾性分析。研究对象10例经脑血管造影证实的海绵窦型硬脑膜动静脉瘘患者。方法对患者的病史、眼部表现、临床检查特点及治疗方法进行总结。主要指标眼部及影像学表现。结果10例患者均有不同程度的球结膜充血和眼球突出,4例患者眼球运动障碍,4例患者出现复视;10例患者均行数字减影脑血管造影检查证实,其可较好地显示窦口的情况。结论海绵窦型硬脑膜动静脉瘘早期易误诊为眼科疾病,对于突眼、结膜充血、眶压高、疼痛、复视,尤其是伴有颅内血管性杂音的患者应进行脑血管造影检查。Objective To summarize the ocular demonstration of the cavernous dural arteriovenous fistulas and to avoid misdiagnosis. Design Retrospective analysis. Participants 10 cases of patients with cavernous dural arteriovenous fistulas. Methods The history, ocular sign, clinical imaging examination and treatment were reviewed. Main Outcome Measures ocular signs, imaging examination. Results All 10 patients had varying conjunctival injection and exophthalmos. Four patients had impairment of eye movement and 4 patient diplopia. All patients were proved by digital subtraction angiography, which could satisfactorily show the orifices of fistulas. Conclusion Early cavernous dural arteriovenous fistulas are frequently misdiagnosed as other eye diseases. The patients with symptoms of eonjunetiva hyperemia, exophthalmoses, orbital high pressure, diplopia, especially intracranial vascular murmur should be examined with digital subtraction angiography.

关 键 词：硬脑膜动静脉瘘 眼科疾病 临床分析 治疗方法 

分 类 号：R771.3[医药卫生—眼科]