表现为右侧红眼的左侧枕部硬脑膜动静脉瘘1例

Left occipital dural arteriovenous fistulas presenting as right red eye:a case report

硬脑膜动静脉瘘是发生在硬脑膜的异常动静脉分流,临床表现取决于瘘的位置、供血动脉、动静脉分流程度和静脉引流方式。本例硬脑膜动静脉瘘患者为63岁男性,以右侧眼球轻度突出、右眼球结膜表面血管扩张为主要表现,全脑血管造影显示左侧枕部硬脑膜动静脉瘘,血管内栓塞治疗后眼部症状消失。

A 63-year-old male with a healthy history presented with a red and swollen right eye for 3 months.Neuro-ophthalmic examination showed slight bulging of the right eyeball,and multiple spiral conjunctival vessels were visible on the surface of the right conjunctiva,suggesting a right carotid cavernous fistula.Cerebral angiography showed left occipital dural arteriovenous fistulas.After endovascular embolization treatment,the patient′s abnormal craniocerebral venous drainage and right eye syndrome resolved,and there was no recurrence during the one-month clinical follow-up after surgery.