高处坠落伤后颈动脉海绵窦瘘1例

A case report of carotid-cavernous fistulas after high falling injury

患者青年女性,工作时不慎从4 m高处跌落,伤后1周眼科检查时发现左眼上睑下垂、眼球固定、眼球突出、结膜下出血,复视,伤后2周进展为右眼结膜下出血水肿,并出现左侧搏动性血管杂音,进行全脑血管造影证实为左侧颈动脉海绵窦瘘,并予以介入海绵窦瘘栓塞术治疗,治疗效果满意后出院。

The patient, a young woman, was referred to ophthalmology department at 1 week after her falling from 4 meters high during her work. Her left eye was diagnosed with ptosis, eyeball fixation, exophthalmos, subconjunctival hemorrhage and diplopia. After 2 weeks, her conditions progressed to subconjunctival hemorrhage and edema of the right eye, with pulsatile vascular murmur on the left side. Left carotid-cavernous fistula was confirmed with digital subtraction angiography, and treated with interventional embolization. Satisfactory outcomes were obtained and the patient was discharged.