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1
題名:DIRECT CAROTID-CAVERNOUS SINUS FISTULA (CCF) DUE TO SPONTANEOUSLY RUPTURED LARGE CAVERNOUS SINUS ANEURYSM--CASE REPORT     (14點)
海綿竇內大型動脈瘤破裂導致頸動脈-海綿竇瘻管之病例報告
著者:Fang-Ting Chen(陳芳婷) ;Tsing-Hong Wang(王清泓) ;Jieh-Ren Jou(周介仁)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Carotid-cavernous fistula ; cavernous sinus aneurysm ; glaucoma
刊名:中華民國眼科醫學會雜誌
卷期:48卷3期(2009.9)
頁碼:346-352
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:提出一病例由海綿竇內大動脈瘤破裂導致 之頸動脈-海綿竇屢管。 方法:病例報告。 結果:一位61 歲高血壓女性病患因突發性劇烈 頭痛至急診就醫,數小時後右眼出現眼皮水腫、凸 眼、及眼球運動麻痺之症狀,且眼科症狀在數小時之 內快速惡化;病患之右眼眼壓高達59 毫米汞柱。顯影齊j注射後之電腦斷層照影及血管攝影顯示一大型 海綿竇內動脈瘤併右側上眼靜脈充血,確定診斷為動 脈瘤破裂所致頸動脈-海綿竇摟管。病患、接受動脈瘤 桂塞後眼部症狀於數天內緩解,且無腦缺血之併發症 發生。 結論:直接型頸動脈,海綿竇摟管雖多見於頭部 創傷後,但海綿竇內之動脈瘤破裂亦為一可能原因。
Purpose: To repo吋a case of acute proptosis and direct carotid-cavernous fistula (CCF) caused by spontaneous rupture of a large cavernous carotid aneurysm Method: Case repo凡 Result: This 61-year-old lady visited our emergent service with the chief complaint of sudden-onset severe headache and right periorbital pain. The systolic blood pressure was 210mmHg, and no trauma history was noted. Ophthalmic examinations revealed swelling of eyelids, proptosis, markedly injected and tortuous conjunctival vessels, extraordinarily high intraocular pressure (IOP), and ophthalmoplegia in the right eye, and these symptoms deteriorated rapidly within hours. Contrast computed topography (CT) angiography and catheter cerebral angiography showed a large cavernous sinus aneurysm with anterior drainage into superior ophthalmic vein and posterior drainage into inferior petrosal sinus in the right side. Under the impression of a ruptured cavernous carotid aneurysm inducing carotid-cavernous sinus fistula (CCF), transarterial embolization of the aneurysm was performed immediately. The IOP returned to normal range on the same day after the procedure, and the other ocular manifestations gradually recovered in the following days without any neurologic sequels. Conclusion: Spontaneous rupture of intracavernous carotid aneurysm, although uncommon, is a possible cause of direct CCF, especially in middleaged or elderly women with systemic hypertension and without history of head trauma.


    

本卷期目次
中華民國眼科醫學會雜誌 48卷3期 (2009.9)
台灣地區視網膜病變的盛行和衝擊--相關文獻的回顧/ 陳世真程景煜
視覺障礙社區研究與照護策略探討/ 郭麗琳蔡景耀蔡宜倫翁林仲劉秀雯何昭德周碧瑟
ORBITAL CELLULITIS/ Shu-Ya WuLih Ma
眼窩骨折/ 廖述朗
眼窩腫瘤/ 高淑卿蔡傑智
甲狀腺眼窩疾病/ 蔡悅如
FLUORESCEIN ANGIOGRAPHY-GUIDED SAFETY-ENHANCED PHOTODYNAMIC THERAPY FOR CHRONIC CENTRAL SEROUS CHORIORETINOPATHY/ Chun-Ju LinPao-Ju ChenJiunn-Feng HwangSan-Ni Chen
THE OCULAR HYPOTENSIVE EFFECT WITHIN 24 HOURS AFTER A SINGLE INSTILLATION OF 0.005% LATANOPROST IN HEALTHY VOLUNTEERS/ Yu-Wen LanJui-wen HsiehI-Jong Wang
INTRAVITREAL BEVACIZUMAB FOR MACULAR EDEMA SECONDARY TO BRANCH RETINAL VEIN OCCLUSION--A SHORT-TERM RESULT/ Yuan-Shen WangCheng-Kuo ChengChi-Hsien PengChao-Chien HuTzu-En WuHueu-Chen Lin
INTRAVITREAL BEVACIZUMAB TREATMENT IN A PATIENT WITH SUBFOVEAL CHOROIDAL NEOVASCULARIZATION SECONDARY TO CHOROIDAL OSTEOMA/ Cho-Ping LeeKen-Ko LinChi-Chun LaiKuan-Jen Chen
EFFECT OF BEVACIZUMAB IN MACULAR DRUSEN--A CASE REPORT/ Hung-Yen ChenLin-Chung WoungChun-Chen ChenShiow-Wen LiouGow-Lieng Tseng
SYSTEMIC BEVACIZUMAB AS AN ADJUVANT THERAPY FOR IDIOPATHIC POLYPOIDAL CHOROIDAL VASCULOPATHY: A CASE REPORT/ Chun-Kai ChangCheng-Kuo Cheng
INTRAVITREAL BEVACIZUMAB (AVASTIN) IN THE TREATMENT OF NEOVASCULAR GLAUCOMA--FOUR CASE REPORTS/ Ya-Hsin KuoLing YeungLan-Hsin ChuangWan-Chen Ku
TRANSCONJUNCTIVAL-INTRAORBITAL INJURY BY A CHOPSTICK: A CASE REPORT/ Chih-Chun ChuangZea-Chin Kuo(Jane)Yih-Shiou HwangHui-Kang Ma(David)Ken-Kuo LinHung-Chi Chen(Jesse)
RECURRENT ANTERIOR UVEITIS WITH AN ACRYSOF INTRAOCULAR LENS IN THE SULCUS/ Chun-Chi ChiangWei-Cheng HuangYi-Yu Tsai
COMPRESSIVE OPTIC NEUROPATHY IN A PATIENT WITH HISTORY OF ACUTE ATTACK ANGLE CLOSURE GLAUCOMA/ YING-HUA CHENJui-Ling Liu(Catherie)
TOPICAL 0.002% MITOMYCIN C FOR CONJUNCTIVAL-CORNEAL INTRAEPITHELIAL NEOPLASIA--A CASE REPORT/ Wei-Ting HungHuei-Fen TangI-Mo Fang
DIRECT CAROTID-CAVERNOUS SINUS FISTULA (CCF) DUE TO SPONTANEOUSLY RUPTURED LARGE CAVERNOUS SINUS ANEURYSM--CASE REPORT/ Fang-Ting ChenTsing-Hong WangJieh-Ren Jou
BILATERAL PANUVEITIS ASSOCIATED WITH HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS: A CASE REPORT/ Chih-Chun ChuangChing-Hsi HsiaoKen-Kuo LinKuan-Jen ChenChi-Chun LaiYih-Shiou Hwang
 
   
 
   

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