Direct arteriovenous fistula at the inferolateral trunk mimicking carotid cavernous fistula without involving the cavernous sinus: a case report.
Direct arteriovenous fistula at the inferolateral trunk mimicking carotid cavernous fistula without involving the cavernous sinus: a case report.
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下外侧干直接动静脉瘘模仿颈动脉海绵窦瘘，不累及海绵窦：病例报告。
DOI：
10.1007/s00701-011-1226-8
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Nagata I.
中科院分区：
文献类型：
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作者：
Horie N;Morikawa M;So G;Hayashi K;Suyama K;Nagata I.
作者报告一例66岁女性，在头部受伤后7个月出现进行性搏动性眼球突出、杂音和结膜水肿。这些症状，虽然高度怀疑颈动脉海绵窦瘘，是由动静脉瘘（AVF）之间的下外侧干（ILT）和眼静脉。ILT分支处的直接AVF不涉及海绵窦是非常罕见的，但在获得性AVF的情况下可能发生，因为ILT在海绵窦外的静脉结构周围有一些分支。这种情况下的临床意义进行了讨论的解剖方面。
The authors present the case of a 66-year-old female who developed progressive pulsating exophthalmos, a bruit, and conjunctival chemosis 7 months after a head injury. These symptoms, though highly suspicious of carotid cavernous fistula, were caused by an arteriovenous fistula (AVF) between the inferolateral trunk (ILT) and the ophthalmic veins. A direct AVF at the branch of the ILT without involvement of the cavernous sinus is extremely rare, but could occur in the case of acquired AVF since the ILT has some branches around venous structures outside the cavernous sinus. The clinical implications of this case are discussed in terms of the anatomical aspects.