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| 自发性颈动脉海绵窦瘘眼部表现的临床分析 | |
| 引用本文： | 沈剑琴,崔红光. 自发性颈动脉海绵窦瘘眼部表现的临床分析[J]. 国际眼科杂志, 2013, 13(4): 801-803 |
| 作者姓名： | 沈剑琴 崔红光 |
| 作者单位： | 中国浙江省杭州市,浙江大学医学院附属第一医院眼科;中国浙江省杭州市,浙江大学医学院附属第一医院眼科 |
| 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。 |
| 关 键 词： | 自发性颈动脉海绵窦瘘 眼部表现 诊断 |
| 收稿时间： | 2012-12-20 |
| 修稿时间： | 2013-03-20 |
Clinical analysis of the ocular manifestation in patients with spontaneous carotid-cavernous sinus fistula |
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| Jian-Qin Shen and Hong-Guang Cui. Clinical analysis of the ocular manifestation in patients with spontaneous carotid-cavernous sinus fistula[J]. International Eye Science, 2013, 13(4): 801-803 | |
| Authors: | Jian-Qin Shen and Hong-Guang Cui |
| Affiliation: | Department of Ophthalmology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China;Department of Ophthalmology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China |
| Abstract: | 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. |
| Keywords: | spontaneous carotid-cavernous sinus fistula ocular manifestation diagnosis |
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