摘要
目的 探索颈内动脉海绵窦瘘致眼球突出的治疗经验。方法 总结我们医院神经内科2021年5月收治的1例颈内动脉海绵窦瘘致眼球突出病人的治疗经验。结果 患者外伤后逐渐出现双眼复视伴有视力障碍，没有及时进行诊治，导致病情逐渐进展，表现为右眼肿胀明显，伴有明显出血症状，延误最佳治疗时机。结论 对于临床上因外伤或不明原因的眼球突出合并眼压高的患者，临床医师应想到动静脉瘘的可能，若及早完成血管造影明确诊断，协助治疗。
关键词： 颈内动脉海绵窦瘘；脑血管造影；眼球突出；视力障碍
Abstract
Objective: To explore the treatment experience of exophthalmos caused by internal carotid cavernous fistula. Methods the treatment experience of a patient with exophthalmos caused by internal carotid cavernous fistula in the Department of Neurology of our hospital in May 2021 was summarized. Results After trauma, the patient gradually developed binocular diplopia with visual impairment. Without timely diagnosis and treatment, the condition gradually progressed, manifested as obvious swelling of the right eye with obvious bleeding symptoms, delaying the best time for treatment. Conclusion For patients with ocular hypertension due to trauma or unexplained exophthalmos, theclinicians should think of the possibility of arteriovenous fistula, and assist in treatment if angiography is completed as soon as possible.
Key words： Internal carotid cavernous fistula; Cerebral angiography; Exophthalmos; Visual impairment
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