Dural and carotid cavernous sinus fistulas. Diagnosis, management, and complications.
Dural and carotid cavernous sinus fistulas. Diagnosis, management, and complications.
复制标题
硬脑膜和颈动脉海绵窦瘘。
DOI：
10.1016/s0161-6420(87)33258-0
复制
发表时间：
1987
期刊：
影响因子：
13.7
通讯作者：
Benjamin C. P. Lee
中科院分区：
文献类型：
--
作者：
J. Keltner;D. Satterfield;A. Dublin;Benjamin C. P. Lee
颈动脉海绵窦瘘（ccsf）是一种罕见的实体发生的结果，头部创伤，也自发。这些瘘管的主要威胁是视力丧失。作者回顾了过去10年中18例直接和硬脑膜ccsf，并将我们的结果与文献中治疗的553例病例进行了比较。71%的直接ccsf患者成功进行球囊栓塞。在文献中，成功关闭直接ccsf的比例从58%到100%不等。随着栓塞技术经验的扩大，发病率和死亡率降低。本文讨论了ccsf的临床特点、诊断方法、治疗方案和并发症。
Carotid cavernous sinus fistulas (CCSFs) are a rare entity occurring as a result of head trauma and also spontaneously. The major threat from these fistulas is loss of vision. The authors reviewed 18 cases of direct and dural CCSFs seen over the last 10 years and compared our results with 553 cases treated in the literature. Seventy-one percent of our patients with direct CCSFs had successful balloon embolization. In the literature, successful closure of direct CCSFs has ranged from 58 to 100%. As experience with embolization techniques broadens, morbidity and mortality is reduced. The clinical features, diagnostic procedures, therapeutic options, and complications of treatment of CCSFs are discussed.