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外伤性颈内动脉海绵窦瘘致脑干水肿并发偏瘫一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Surgery
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.0529-5815.2015.04.018
- Key Word:
- No keyword available
Abstract： 患者 男性,51岁,因“颅脑外伤后1个月,右眼突出伴有颅内杂音1周”于2013年6月25日入院.患者1个月前因车祸致额窦及筛窦骨折,予以保守治疗,恢复良好出院.1周前出现右侧眼球突出及颅内杂音.体检:右眼视力0.5,右眼球向外突伴结膜充血;眼底检查见静脉充血水肿;右侧眼眶及颞部可闻及与心率一致的吹风样杂音.头部MRI检查FLAIR序列见脑桥右侧高信号水肿影.头部数字减影血管造影见海绵窦动脉期显影,经眼静脉引流,同时经岩下窦、斜坡静脉丛引流;脑干前方见扩张的静脉,通过基底静脉向Galen静脉引流至直窦;岩上窦闭塞未显影.
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