右侧海绵窦区硬脑膜动静脉瘘致迟发性眼球突出——病例报告

Dural Arteriovenous Fistula in Dextral Cavernous Sinus with Delayed Exophthalmos——A Case Report

海绵窦区硬脑膜动静脉瘘(Cavernous ainus dural arteriovenous fistula, CSDAVF)是较少见的颅内血管畸形,也属于神经眼科范畴,早期往往缺乏眼科症状和体征,易漏诊或误诊。本例CSDAVF眼科早期表现不典型,数字减影血管造影(Digital subtraction angiography, DSA)有助于诊断和鉴别诊断,介入栓塞治疗是有效手段,本文结合相关文献进行讨论。

Cavernous ainus dural arteriovenous fistula (CSDAVF) is an infrequent intracranial vascular mal-formation, which also involves neuro-ophthalmology. Lack of ophthalmological signs and symptoms in its early stage is the character of CSDAVF, and is prone to be missed diagnosis. In this CSDAVF case, there is no early ocular characteristic expression. Digital subtraction angiography (DSA) will contribute to differential diagnosis and intraventional embolization will be effective. The case was discussed with relative literature.