自发性颈动脉海绵窦瘘眼部表现的临床分析  

Clinical analysis of the ocular manifestation in patients with spontaneous carotid-cavernous sinus fistula

作　　者：沈剑琴[1] 崔红光[1] 

机构地区：[1]浙江大学医学院附属第一医院眼科,中国浙江省杭州市310003

出　　处：《国际眼科杂志》2013年第4期801-803,共3页International Eye Science

摘　　要：目的:探讨自发性颈动脉海绵窦瘘眼部表现特点及诊断要点,提高对该病的认识,减少临床漏诊、误诊。方法:回顾分析14例就诊于我院的自发性颈动脉海绵窦瘘患者的眼部症状及体征、影像学检查、治疗方法等。结果:所选14例病例中最常见的眼部表现为眼球突出(100%)、结膜及浅层巩膜充血扩张(93%)。行CT或MRI检查的12例病例中,眼上静脉增粗者9例,海绵窦增宽或高信号者6例。4例行栓塞治疗者眼部症状和体征得到明显改善。结论:自发性颈动脉海绵窦瘘的眼部临床谱广泛多样,特征性眼部表现结合影像学检查可有效提高诊断。栓塞治疗对改善眼部表现效果明显。AIM： To explore the clinical manifestations and diagnostic features of spontaneous carotid- cavernous sinus fistula so as to improve the recognition and avoid misdiagnosis. METHODS： Clinical data from 14 patients with spontaneous carotid- cavernous sinus fistula including clinical symptoms and signs, imaging, treatment were analyzed retrospectively. RESULTS： The most common ocular symptoms in all 14 patients were exophthalmos （100%） and eye redness （93%）. The CT or MRI scan performed in 12 cases revealed enlargement of the superior ophthalmic veins in 9 cases and distension of the cavernous sinus in 6 cases. The ocular manifestations improved apparently in all 4 cases undergoing embolization therapy. CONCLUSION： Due to the wide and various clinical spectrum of spontaneous carotid- cavernous fistula, having a good grasp of diagnostic ocular features and imaging findings is significant to improve the diagnostic ability. Embolization therapy is effective in improving the ocular symptoms.

关 键 词：自发性颈动脉海绵窦瘘 眼部表现 诊断 

分 类 号：R771.3[医药卫生—眼科]