高流量颈动脉海绵瘘和 "白眼"：罕见且易误诊的表现--病例报告和文献综述。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-04-18 DOI:10.1177/14782715241246572

Francisco Caiza-Zambrano, Martín Gómez Lastra, Silvia Garbugino, Fabio Maximiliano Gonzalez, Julio Galarza Menoscal, Mauricio Benetti, Yemina Neme Segura, Luis Ariel Miquelini, Claudia Uribe-Roca, Manuel Fernández-Pardal, Luciana León-Cejas, Ricardo Reisin, Pablo Bonardo

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引用次数: 0

摘要

颈动脉海绵瘘（CCF）的三个典型症状是搏动性眼球外翻、眼挫和结膜化脓。在此，我们介绍了一例因高流量CCF导致的孤立性外展神经麻痹的临床病例，患者是一名84岁的女性，没有典型的充血性眼眶特征。这是一个诊断难题，因为对于 50 岁以上有心血管风险因素的患者来说，缺血性单神经病变是最常见的病因。本病例说明，CCF 是最不常见的一种类型，很容易被误诊。对于孤立性外展神经麻痹患者，即使没有典型的三联征，医生也应将瘘管视为可能的诊断。

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High-flow carotid cavernous fistula and 'white eye': A rare and easily misdiagnosed presentation - A case report and literature review.

The three classic symptoms of carotid cavernous fistula (CCF) are pulsating exophthalmos, bruit and conjunctival chemosis. Here, we present a clinical case of isolated abducens nerve palsy due to a high-flow CCF in an 84-year-old woman, without the typical congestive orbito-ocular features. It was a diagnostic challenge because, for patients older than 50 years with cardiovascular risk factors, ischaemic mononeuropathy is the most frequent aetiology. This case illustrates the least common type of CCF that can be easily misdiagnosed. Physicians should consider fistula as a possible diagnosis in a patient with isolated abducens nerve palsy even without the classic triad.

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来源期刊

Journal of the Royal College of Physicians of Edinburgh MEDICINE, GENERAL & INTERNAL-

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.