不尋常自發性右側外頸動脈與左側海綿體靜脈竇間之動靜脈瘻管－病例報告

Unusual Spontaneous Dural Cavernous Sinus Fistula between Right External Carotid Artery and left Cavernous Sinus - A Case Report

陳征宇(Jen-Yie Chen) ； 蔡榮坤(Rong-Kung Tsai) ； 蘇明揚(Min-Yang Su)

《The Kaohsiung Journal of Medical Sciences》 12卷3期 (1996/03) Pp. 193-196

https://doi.org/10.6452/KJMS.199603.0193

摘要

本例為一相當罕見之自發性硬腦膜澹體靜脈竇癭管（spontaneous dural cavernous sinus fistula）造成對側突眼（contralateral exophthalmos）症狀的病例。本例中，右側外頸動脈直接與左側之海綿體靜脈竇之間沒有任何交通，所有右側之眼睛完全沒有症狀。雖然頸動脈直接對與對側海綿體靜脈竇形成自發性癭管，造成對側突眼之情形相當少見，但是臨床上仍須考慮此種可能性。對於自發性硬腦膜海綿體靜脈竇癭管的患者，最好安排雙側之血管攝影檢查，以免找不到形成癭管之成因而誤導診斷方向。

並列摘要

A 64 year-old female had left exophthalmos which resulted from a spontaneous dural cavernous sinus fistula between the right external carotid artery and left cavernous sinus. The left cavernous sinus was fed directly from internal maxillary branches of right external carotid artery with the sparing of right cavernous sinus and intracavernous sinus. Symptoms and signs of dural cavernous sinus fistula developed slowly in the left eye only Although this kind of spontaneous dural cavernous sinus fistula is very rare. The possibility of arterial feeding from contralateral carotid artery should not be ignored in any patient that is suffered from dural cavernous sinus fistula while angiographic study is performed.

並列關鍵字

spontaneous dural carvernous sinus fistula ； contralateral exophthalmos ； angiography