颈内动脉海绵窦瘘课件

2颈动脉海绵窦瘘西医二附院神经外科陈明生 2016.11.23 context ? 1809 Travers ? 1930 Brooks ? 1933 Hamby ? 1968 Arutiunov ? 1971 Serbinenko ? 1975 Debrun Anatomy of cavernous sinus 5 Venous drainage of cavernous sinus Conclusion 1 Anatomy ?“ An artery ” Internal carotid artery (ICA) 颈内动脉?“ Four nerves ”动眼神经、滑车神经、展神经、三叉神经眼支、上颌支?“ Venous drainage ”眼上静脉、眼下静脉、蝶顶窦静脉、外侧裂静脉、基底静脉等 What F ? ? Definition: ?颈动脉海绵窦瘘( carotid cavernous sinus Fistula, CCF ) 是指海绵窦段的颈内动脉及其分支破裂,使之与海绵窦形成动静脉的异常交通,引起的神经眼科综合征。 Pathophysiological mechanisms F Bleeding 神经功能障碍①② Pathophysiological mechanisms F ③静脉回流障碍 Conclusion 2 Pathophysiological ?① ICA split ( trauma is the primary cause ) ?(颈动脉破裂) ?② Formed arteriovenous fistula ? Drainage obstacles (回流障碍) ?③ Neurological dysfunction ?ⅡⅢⅣⅤⅥ