カイダ　ケンイチ   KAIDA Kenichi   海田　賢一    所属   埼玉医科大学  医学部 総合医療センター　脳神経内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	日本語
査読の有無	査読あり
表題	[Two cases of idiopathic carotid-cavernous fistula with headache and ophthalmoplegia].
掲載誌名	正式名：Rinsho shinkeigaku = Clinical neurology ISSNコード：0009918X
巻・号・頁	47(8),516-8頁
著者・共著者	Go Ogawa,Hajime Tanabe,Mami Kanzaki,Ken-ichi Kaida,Kazuo Motoyoshi,Keiko Kamakura
発行年月	2007/08
概要	We report two cases of idiopathic carotid-cavernous fistula (CCF) with primary symptoms of headache and diplopia. A 47-year-oldwoman presented with throbbing headache in her right frontal region followed by right trochlear nerve palsy. Brain magnetic resonance imaging (MRI) was normal but magnetic resonance angiography (MRA) and computed tomographic angiography (CTA) revealed abnormal signals around the right cavernous sinus. CCF was diagnosed by conventional angiography. The symptoms improved naturally but after about 1 year she suddenly exhibited conjunctival congestion. A 41-year-old man complained of fluctuating headache with sudden left abducens nerve palsy. MRI and MRA were normal but CTA showed abnormal signals around the left cavernous sinus. A final diagnosis of CCF was made by conventional angiography and he was transferred to another hospital for stereotactic radiosurgery. Diagnosis of CCF tends to be delayed in cases presenting with only headache and external ophthalmoplegia. However, CCF with cortical vein drainage can lead to cerebral hemorrhage and early correct diagnosis is needed. Our cases showed a dilated superior ophthalmic vein in enhanced CT and an abnormal s
ORCIDのPut Code	27514640
PMID	17882945
PermalinkURL	http://europepmc.org/abstract/med/17882945