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Three-Dimensional Reconstruction of Orbital Fractures
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由于逆侧轨道创伤造成的冠状动脉-洞穴
V G Namitha1, R Neena1, E R Jayadevan2
1Department of Paediatric Ophthalmology, Strabismus and Neurophthalmology, Giridhar Eye Institute, Kochi, Kerala, India.
Oman journal of ophthalmology
|December 9, 2024
概括
一个罕见的直 carotid 洞穴 (CCF) 的案例,在创伤后呈现出 contralateral 症状. 血管内线圈成功地治疗了,导致症状的解决.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 血管外科 血管外科
背景情况:
- 直动脉洞穴囊 (CCF) 是心脏动脉和洞穴鼻腔之间的异常连接.
- CCF通常是创伤造成的,并呈现出ipsilateral轨道标志.
研究的目的:
- 报告一个独特的直接CCF病例,在创伤后显著延迟后出现相反的症状.
- 要突出诊断挑战和成功的内血管管理这样一个罕见的呈现.
主要方法:
- 一个54岁男性的病例报告,有晚发轨道症状.
- 临床检查显示了CCF的ipsilateral迹象,诊断成像显示了对侧.
- 直接CCF的内血管卷积.
主要成果:
- 患者在左轨道创伤7个月后出现了右侧轨道征兆 (红眼,双视,侧直肠麻,前,内压升高).
- 数字减去血管造影意外地揭示了左侧直接的CCF.
- 内血管卷积导致最初的症状恶化,随后几乎完全消失.
结论:
- 直接CCF可以呈现出反侧症状和延迟发病,挑战初始诊断.
- 血管内线圈是直接CCF的有效治疗方法,即使是复杂或延迟的表现.
- 这一案例强调了在怀疑有非典型表现的CCF中全面血管成像的重要性.
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