THE OCULAR MANIFESTATIONS AND TREATMENT OF CAROTID CAVERNOUS SINUS FISTULAE
- VernacularTitle:颈内动脉-海绵窦瘘的眼部表现及其治疗
- Author:
Huiying YANG
;
Maonian ZHANG
;
Feng LIN
- Publication Type:Journal Article
- Keywords:
Carotid cavernous sinus fistulae;
disease attributes;
eye manifestations
- From:
Medical Journal of Chinese People's Liberation Army
1983;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
The records of 10 consecutive cases that sustaining traumatic CCF were retrospectively reviewed.The age of cases ranged from 18 to 55 years old, and all of them were complicated with fracture of orbit and base of skull.The causes of injuries, the characteristics of ocular manifestations,the findings in CT or cerebral angiography, and methods of treatment of CCF were analysed. The results showed that 9 cases were cured by operation (90%). The cavernous sinus fistulae were closed. The ocular signs such as exophthalmos, vascular murmur in eyelid and conjunctival swelling disappeared.One case had remaining exophthalmos.Nine patients who were cured were followed up for 6 months to 10 years.No ocular signs recurred in all cases. In 2 cases there were mild complications.It suggested that the pulsating exophthalmos,vessel murmur in eyelid and marked conjunctival vessel dilatation were the characteristics of ocular manifestations in CCF. Endovascular embolization with detachable balloon or spring coil is currently the treatment of choice and it is efficacious and safe in traumatic CCF.
