- 期刊
- OpenAccess
以矽制可分離球栓塞術治療外傷性頸動脈－海綿竇瘻管－病例報告
Silicone Detachable Balloon Embolization in the Treatment of Traumatic Carotid-Cavernous Sinus Fistula-Case Report
摘要
一位41歲女性病人，因車禍引起複視，右眼球突出併自覺性離音。頭部電腦斷層攝影發現有明顯的右上眼靜脈擴張和併眼外肌肥大。經動脈超音波顯示有內經動脈異常高血流量。腦血管攝影證存在著右內經動脈海綿竇瘺管。 應用經動脈之選擇性矽製可分離球栓塞術治療後，病患症狀得以改善，併發暫時性動眼神經麻痹，經一年五個月長期追蹤，動眼神經連動恢復正常。
關鍵字
無資料並列摘要
A 41 year-old female suffered from right eye proptosis with spontaneous, subjective bruit noise after car accident. Orbit CT scan revealed dilated prominent superior ophthalmic vein with extra-ocular muscle hypertrophy, OH. Cerebral angiography confirmed direct communication between internal carotid artery and cavernous sinus. Carotid duplex study showed abnormally high flow in right internal carotid artery wills total occlusion of right external carotid artery. Selective trans-arterial embolization with silicone detachable balloon technique give remarkable satisfactory improvement.
延伸閱讀
- 蕭名謙、李正輝、盧建利、呂坤木、蕭振宇（2021）。頸動脈海綿竇瘻管患者以金屬線圈栓塞治療－病例報告。台灣應用輻射與同位素雜誌，17(1)，2065-2069。https://www.airitilibrary.com/Article/Detail?DocID=18156290-202103-202105120004-202105120004-2065-2069
- Yen, P. S., Wong, H. F., Ng, S. H., Gau, J. S., Wai, Y. Y., Chen, Y. L., & Wan, Y. L. (1998). 使用可分離式囊球血管內治療內頸動脈－海綿竇間瘻管之經驗. 中華放射線醫學雜誌, 23(3), 81-86. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199806-23-3-81-86-a
- 周秉義、連業程、呂大文、陳怡均（1991）。頸動脈海綿竇瘻管合併中央網膜靜脈阻塞－病例報告。中華民國眼科醫學會雜誌，30(1)，192-196。https://doi.org/10.30048/ACTASOS.199112.0034
- 呂岳勳（2015）。頸動脈海綿狀竇廔管與栓塞治療。台北市醫師公會會刊，59(9)，20-23。https://www.airitilibrary.com/Article/Detail?DocID=P20110322001-201509-201510200006-201510200006-20-23
- Lin, K. C., Yeh, C. H., & Tsai, T. C. (2003). Palliative Treatment of Chronic Carotid-cavernous Fistula: A Case Report. Acta Neurologica Taiwanica, 12(3), 149-153. https://doi.org/10.29819/ANT.200309.0006