HJO  >> Vol. 3 No. 1 (March 2014)

    Dural Arteriovenous Fistula in Dextral Cavernous Sinus with Delayed Exophthalmos——A Case Report

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严 良,李 雯,穆 晶,李世玮:上海交通大学附属第六人民医院眼科,上海

Cavernous Ainus Dural Arteriovenous Fistula; Digital Subtraction Angiography; Embolotherapy; Neuro-Ophthalmology


海绵窦区硬脑膜动静脉瘘(Cavernous ainus dural arteriovenous fistula, CSDAVF)是较少见的颅内血管畸形,也属于神经眼科范畴,早期往往缺乏眼科症状和体征,易漏诊或误诊。本例CSDAVF眼科早期表现不典型,数字减影血管造影(Digital subtraction angiography, DSA)有助于诊断和鉴别诊断,介入栓塞治疗是有效手段,本文结合相关文献进行讨论。

Cavernous ainus dural arteriovenous fistula (CSDAVF) is an infrequent intracranial vascular mal-formation, which also involves neuro-ophthalmology. Lack of ophthalmological signs and symptoms in its early stage is the character of CSDAVF, and is prone to be missed diagnosis. In this CSDAVF case, there is no early ocular characteristic expression. Digital subtraction angiography (DSA) will contribute to differential diagnosis and intraventional embolization will be effective. The case was discussed with relative literature.

严良, 李雯, 穆晶, 李世玮. 右侧海绵窦区硬脑膜动静脉瘘致迟发性眼球突出——病例报告[J]. 眼科学, 2014, 3(1): 7-11. http://dx.doi.org/10.12677/HJO.2014.31002


[1] 周良辅 (2001) 现代神经外科学. 复旦大学出版, 上海.
[2] 胡燕飞, 全伟, 张昊 (2007) 海绵窦区硬脑膜动静脉瘘眼部表现的临床分析. 中国实用眼科杂志, 25, 193-194.
[3] 刘家琦, 李凤鸣 (1984) 实用眼科学. 人民卫生出版社, 北京.
[4] 施维, 钟勇, 程钢炜 (2006) 硬脑膜海绵窦瘘的眼部表现三例. 中华眼科杂志, 42, 550-552.
[5] Endo, S., Kuwayama, N. and Takaku, A. (1998) Direct packing of the isolated sinus in patients with dural arteri- ovenous fistulas of the transverse-sigmoid sinus. Journal of Neurosurgery, 88, 449-456.
[6] 李昌华, 张小军, 王守森 (2011) 硬脑膜动静脉瘘发病机制的研究进展. 中国临床神经外科杂志, 16, 316-318.
[7] 吴中耀 (2002) 现代眼肿瘤眼眶病学. 人民军医出版社, 北京.
[8] 田喜光, 段传志, 李铁林 (2002) 自发性颈动脉海绵窦瘘研究进展. 实用医学杂志, 18, 328-329.
[9] Meyers, P.M., Halbach, V.V. and Dowd, C.F. (2002) Dural carotid cavernous fistula: definitive endovascular man- agement and long-term follow-up. American Journal of Ophthalmology, 134, 85-92.
[10] 张新秀, 魏世辉 (2008) 海绵窦型硬脑膜动静脉瘘的眼部表现. 眼科, 17, 274-277.
[11] Dabus, G., Linfante, I. and Martínez-Galdámez, M. (2014) Endovascular treatment of dural arteriovenous fistulas using dual lumen balloon microcatheter: Technical aspects and results. Clinical Neurology and Neurosurgery, 117, 22-27.
[12] Gokhale, S., Khan, S.A. and McDonagh, D.L. (2014) Comparison of surgical and endovascular approach in manage- ment of spinal dural arteriovenous fistulas: A single center experience of 27 patients. Surgical Neurology International, 21, 5-7.