以眼部为首发症状的海绵窦血管畸形临床分析

目的 分析以眼部为首发症状的海绵窦血管畸形的临床病例，避免误诊本病。方法 通过对2例眼部症状相同而位置不同的海绵窦血管畸形病例分析，对此类疾病做一概述。结果 2例病例分别被误诊为“动眼神经麻痹”和“结膜炎”，经眼眶CT和全脑血管造影检查，确诊为海绵窦血管畸形所致，并给予动静脉栓塞治疗，患者眼部症状明显缓解。结论 详尽病史询问、完善辅助检查对于以眼部为首发症状的海绵窦血管畸形的诊断是必需的。

Clinical analysis of cavernous sinus vascular malformation with the primary symptom in the eye

Objective To improve the understanding of cavernous vascular malformation with the primary symptom in the eye by the clinical analysis and avoid misdiagnosis. Methods Through the analysis of two cases of the same ocular symptoms in different position, we presented an overview of this disease. Results The 2 cases were misdiagnosed as ocularmotor paralysis and conjunctivitis. By the orbital CT and digital subtraction angiography, we found that they were caused by cavernous vascular malformation. The patients accepted arterio-venousembolization, and eye symptoms were significantly relieved. Conclusion It is necessary to enquire the detail medical history and improve auxiliary examination to diagnose cavernous vascular malformation with the primary symptom in the eye.