NR 6/2003
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Zamknięcie żyły środkowej siatkówki w
przebiegu
samoistnej przetoki szyjno-jamistej
Central retinal vein occlusion in course of idiopathic
carotid-cavernous fistula
Wojciech Kątski, Anna Matysik, Ewa Belniak1,
Maciej Szajner2, Ali Munir, Joanna Wojczal1
Z II Kliniki Okulistyki Akademii Medycznej w Lublinie
Kierownik: prof. dr hab. n. med. Jerzy Toczołowski
1Z Kliniki Neurologii Akademii Medycznej w Lublinie
Kierownik: prof. dr hab. n. med. Zbigniew Stelmasiak
2Z Zakładu Radiologii Zabiegowej i Neuroradiologii Akademii Medycznej w
Lublinie
Kierownik: prof. dr hab. n. med. Małgorzata Szczerbo-Trojanowska |
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| Summary: |
Purpose: This study presents the case
history of a 58-year-old woman with a diagnosed spontaneous carotid-cavernous fistula on
the left side and mild hypertension.
The first signs of this disease were: headache, double vision, proptosis,
ptosis of the left upper lid, paresis of the left abducens nerve, conjunctival edema,
dilatation and tortuosity of the vessels in conjunctiva and episclera. In the course of
this disease a massive central retinal vein occlusion occured in the left eye. The
angiography demonstrated carotid-cavernous fistula on the left side with pathological
blood flow. Embolization of the fistula was attempted, but it was not successful. During 6
months of follow up, the signs of central retinal vein occlusion and other manifestations
disappeared.
Conclusions: A spontaneous carotid-cavernous fistula should be considered
as one of the contributing factors of the central retinal vein occlusion, particulary in
menopausal women with concomitant arterial hypertension. The significant reduction of
neurological and ophthalmological symptoms and signs may suggest, that arteriovenous shunt
is closed. |
| Słowa kluczowe: |
zakrzep żyły środkowej siatkówki, przetoka
szyjno-jamista, embolizacja. |
| Key words: |
central retinal vein occlusion, carotid-cavernous fistula,
embolisation. |
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