CAJ | 학술논문

目的探讨颈动脉海绵窦瘘(CCF)导致脑干静脉性充血的诊断、治疗及预后.方法结合文献复习,回顾性分析2例CCF导致脑干静脉性充血病例的临床资料.结果依据患者临床表现及影像学检查,得出正确诊断.1例患者弹簧圈栓塞CCF,术后痊愈;1例患者球囊闭塞CCF,术后神经功能障碍明显改善.结论脑干静脉性充血是颈动脉海绵窦瘘少见而严重的并发症,正确的诊断与及时、适当的治疗可改善预后.
목적 탐토경동맥해면두루(CCF)도치뇌간정맥성충혈적진단、치료급예후.방법 결합문헌복습,회고성분석2례CCF도치뇌간정맥성충혈병례적림상자료.결과 의거환자림상표현급영상학검사,득출정학진단.1례환자탄황권전새CCF,술후전유;1례환자구낭폐새CCF,술후신경공능장애명현개선.결론 뇌간정맥성충혈시경동맥해면두루소견이엄중적병발증,정학적진단여급시、괄당적치료가개선예후.
Objective To explore diagnosis, treatment and outcome of brainstem venous congestion caused by carotid-cavernous fistula. Methods Combined with review of the literatures, the clinical data of two patients suffered from brainstem venous congestion caused by carotid-cavernous fistula were analyzed. Results According to clinical manifestation and imaging examination, diagnosis of patients were defined accurately. One patient was treated with coil, who has been fully recovered. The other patient was treated with balloon, whose neurologic impairment has made better obviously. Conclusions Brainstem venous congestion is a rare and serious complication caused by carotid-cavernous fistula. Good outcome can be expected if it has been diagnosed accurately and treated appropriately.