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目的探讨海绵窦型硬脑膜动静脉瘘引起眼部改变的特征,提高对该病的认识,减少误诊。设计回顾性分析。研究对象10例经脑血管造影证实的海绵窦型硬脑膜动静脉瘘患者。方法对患者的病史、眼部表现、临床检查特点及治疗方法进行总结。主要指标眼部及影像学表现。结果10例患者均有不同程度的球结膜充血和眼球突出,4例患者眼球运动障碍,4例患者出现复视;10例患者均行数字减影脑血管造影检查证实,其可较好地显示窦口的情况。结论海绵窦型硬脑膜动静脉瘘早期易误诊为眼科疾病,对于突眼、结膜充血、眶压高、疼痛、复视,尤其是伴有颅内血管性杂音的患者应进行脑血管造影检查。
Objective To investigate the characteristics of ocular changes induced by cavernous sinus dural arteriovenous fistula, to improve the understanding of the disease and to reduce misdiagnosis. Design retrospective analysis. The study included 10 patients with cavernous sinus dural arteriovenous fistula confirmed by cerebral angiography. Methods The patient’s medical history, eye performance, clinical features and treatment methods were summarized. The main indicators of eye and imaging performance. Results All 10 patients had different degrees of conjunctival hyperemia and ophthalmoplegia, 4 patients had ophthalmic dyskinesia, and 4 patients had diplopia. All 10 patients were confirmed by digital subtraction angiography, which showed well The situation of the ostium. Conclusions The early cavernous sinus dural arteriovenous fistula is often misdiagnosed as an ophthalmological disease. Cerebral angiography should be performed in patients with exophthalmos, conjunctival hyperemia, high orbital pressure, pain, diplopia, especially with intracranial vascular murmur.