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1
題名:DELAYED ONSET CENTRAL RETINAL VEIN OCCLUSION (CRVO) IN TRAUMATIC CAROTID CAVERNOUS SINUS FISTULA (CCSF)--A CASE REPORT     (12點)
外傷性頸動脈海綿竇瘻管導致遲延性中心性視網膜靜脈阻塞--病例報告
著者:Ching-Lung Chen(陳慶隆) ;Yuan-Hsiung Tsai(蔡元雄) ;Pey-Jane Wu(吳佩蓁) ;Tsung-Hsien Chou(周宗賢) ;Chien-Hsiung Lai(賴建雄)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Carotid cavernous sinus fistula ; Central retinal vein occlusion ; Cerabral angiography ; Computer tomography angiography
刊名:中華民國眼科醫學會雜誌
卷期:47卷3期(2008.9)
頁碼:235-240
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一例未曾接受治療之外傷性頸動脈海 綿竇屢管患者,發生遲延性中心性視網膜靜脈阻塞, 在眼底攝影,電腦斷層血管攝影,腦血管攝影,及光 學同調電腦斷層上的表現。 方法:病例報告。 結果:一名56 歲男子於跌落頭部左側外傷發生 左眼腫脹及異音,但於數週後痊癒且無明顯眼部不 適。於受傷後約2 個月發生視力逐漸模糊,雙眼複 視。4 個月後,因眼球外凸,前來就醫。眼科檢查發 現眼球前凸,結膜血管擴大扭曲,左外側轉局限,視網膜出血,靜脈擴大扭曲,及棉狀滲出物,最佳矯正 視力僅20/70 。沒有眼壓增加及視神經傳導異常。經 血管攝影發現動脈期上眼靜脈及海綿竇擴大,屬於直 接型。建議接受血管內控塞治療,但患者因須再考慮 及健保與經濟上考量而出院。 結論:因外傷性頸動脈海綿竇摟管所致之非缺血 性中心性視網膜靜脈阻塞的似乎擁有較好視力癒 後,早期發現及治療可能預防中心性視網膜靜脈阻塞 及視力受損。
Purpose: To repo前a patient sutfering from untreated traumatic carotid cavernous sinus fistula (CCSF), followed by delayed onset central retinal vein occlusion (CRVO) and presentation on color fundus images, computer tomography angiography (CTA) and cerebral angiography, optical coherence tomography (OCT). Method: Case repo叫. Result: We present the case of a patient who sutfered from a blunt head injury resulting in a delayed diagnosis of a carotid-cavernous sinus fistula and subsequent central retinal vein occlusion (CRVO). A 56圖year-old male patient presented as progressively blurred vision of the left eye and diplopia for about 2 months after falling from a tree 6 months ago. The symptom of persistent bruit and mild left orbital distention was noted 1-2 days after trauma, but subsided later. Unable to tolerate blurred vision and bruit disturbance that had persisted for several months, the patient sought medical help. Left eyeball protrusion with bulbar conjunctival vessels engorged, lateral gaze limitation of the left eye, and extensive retinal hemorrhages and dilated tortuous veins with cotton wool spots in fundus, and best corrected visual acuity 20/70 were noted. There is no elevated intraocular pressure and absence of relative atferent pupillary defect. Enlarged left superior ophthalmic vein and left cavernous sinus were identified on both CTA and conventional cerebral angiography that is compatible with direct carotid cavernous fistula. OCT revealed mild macular edema (237um). An endovascular embolization was advised, but the patient asked to be discharged due to more time needed for considering the insurance coverage and arranging for claims. Conclusion: Patient with CRVO induced by traumatic CCSF seems to have better visual acuity outcome in this case repo凡Early medical consultation or CCSF detection may prevent subsequent complications including CRVO and visual deterioration .


    

本卷期目次
中華民國眼科醫學會雜誌 47卷3期 (2008.9)
青光眼病人的生活品質測量/ 林人傑尤之浩
INFLUENCE OF PROTEIN AND IMMUNOGLOBULIN A DEPOSITION ON FEMALE PATIENT COMFORT AND SATISFACTION: COMPARISON OF CONVENTIONAL AND 2-WEEK DISPOSABLE SOFT CONTACT LENSES/ Chih-Hsien HsiaoPo-Liang ChenJiann-Torng ChenDa-Wen Lu
UNI-HAPTIC SINGLE-PIECE ACRYSOF FOLDABLE INTRAOCULAR LENS IN THE CAPSULAR BAG WITH GOOD STABILITY: ONE CASE REPORT/ Hsiu-Mei HuangChih-Hsin Chen
UNILATERAL MACULAR HYPOPYON AND BILATERAL OPTIC PERINEURITIS FROM SECONDARY SYPHILIS--CASE REPORT/ Li-Fang TsengJiunn-Feng HwangSan-Ni Chen
TRILATERAL RETINOBLASTOMA--A CASE REPORT OF RECONSTRUCTION/ Yun-Ting LouCheng-Hsien ChangChang-Ling ChenLiao Yu MeiKai-Chun ChengShiu-Liang HsiuMing-Chiang Kang
DELAYED ONSET CENTRAL RETINAL VEIN OCCLUSION (CRVO) IN TRAUMATIC CAROTID CAVERNOUS SINUS FISTULA (CCSF)--A CASE REPORT/ Ching-Lung ChenYuan-Hsiung TsaiPey-Jane WuTsung-Hsien ChouChien-Hsiung Lai
SCEDOSPORIUM APIOSPERMUM KERATITIS--A CASE REPORT/ Wen-Jui ChangChing-Hsi HsiaoHui-Kang Ma(David)Yeong-Fong Chen
WIDEN THE ANTERIOR CHAMBER ANGLES OF A PRIMARY ANGLE-CLOSURE PATIENT WITH ARGON LASER PERIPHERAL IRIDOPLASTY--A CASE REPORT/ Chao-Yu HuLin-Chin Mai(Elsa)Shu-Wen Chang
PAPILLEDEMA CAUSED BY CRYPTOCOCCAL MENINGITIS IN TWO IMMNO-COMPETENT HOSTS/ Pai-Huei PengCheng-Kuo Cheng
BETTER LOCALIZATION OF PERIORBITAL OR INTRAORBITAL FOREIGN BODY WITH RECONSTRUCTED THREE-DIMENSIONAL COMPUTER TOMOGRAPHY--CASE REPORT/ Tsung-Hsien ChouHsu-Huei WengChien-Hsiung LaiYih-Shiou Hwang
SECONDARY GLAUCOMA ASSOCIATED WITH AN OCCULT METALLIC FOREIGN BODY AT THE ANTERIOR CHAMBER ANGLE SIMULATING AN IRIS TUMOR/ Yi-Hsuan WeiJehn-Yu HuangShu-Lang LiaoTsing-Hong Wang
TOXIC KERATOPATHY ASSOCIATED WITH ABUSE OF MULTIPLE EYE DROPS --A CASE REPORT/ Tsui-Kang HsuWen-Ming HsuKo-Hua ChenShui-Mei Lee
以廣泛性眼球摘除術來治療眼瞼皮脂腺癌--病例報告/ 王瀚生高啟祥柯美蘭
巴里諾氏眼淋巴腺症候群--病例報告/ 邱文智羅伍娉王永興陳垚生
 
   
 
   

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