复发性颈内动脉海绵窦瘘致后循环多发血流相关性动脉瘤破裂1例并文献复习

doi:10.3969/j.issn.1673-5765.2025.07.012

中国卒中杂志 ›› 2025, Vol. 20 ›› Issue (7): 904-910.DOI: 10.3969/j.issn.1673-5765.2025.07.012

复发性颈内动脉海绵窦瘘致后循环多发血流相关性动脉瘤破裂1例并文献复习

毛宏亮¹，张海林²，刘吉星²，孙守元²

1 定西 743000 定西市人民医院神经重症医学科
2 兰州大学第二医院神经外科

收稿日期:2024-03-04 修回日期:2025-05-09 接受日期:2025-05-16 出版日期:2025-07-20 发布日期:2025-07-20
通讯作者: 张海林 hailinz@163.com
基金资助:
甘肃省重点研发计划项目（21YF11FA003）

Rupture of Multiple Hemodynamically Related Aneurysms in the Posterior Circulation Due to Recurrent Carotid-Cavernous Fistula: A Case Report and Literature Review

MAO Hongliang¹, ZHANG Hailin², LIU Jixing², SUN Shouyuan²

1 Department of Neurocritical Care Medicine, Dingxi People’s Hospital, Dingxi 743000, China
2 Department of Neurosurgery, The Second Hospital of Lanzhou University, Lanzhou 730000, China

Received:2024-03-04 Revised:2025-05-09 Accepted:2025-05-16 Online:2025-07-20 Published:2025-07-20
Contact: ZHANG Hailin, E-mail: hailinz@163.com

摘要/Abstract

摘要： 颈内动脉海绵窦瘘是临床常见病，主要由外伤引起。以往，很多医师通过结扎颈内动脉来治疗该疾病，因此治疗常常不彻底，存在复发可能。而海绵窦瘘复发后并发血流相关性动脉瘤的患者在临床上较为罕见，尤其是后循环多发动脉瘤。本文报道1例海绵窦瘘行颈内动脉结扎术后复发，进而引起后循环多发动脉瘤，最终破裂出血的病例，结合文献分析该患者海绵窦瘘及血流相关性动脉瘤的形成机制及处理方法，以供临床医师参考。

关键词: 颈内动脉海绵窦瘘; 颈内动脉结扎; 血流相关性动脉瘤; Onyx胶; 弹簧圈

Abstract: Carotid-cavernous fistula (CCF) is a common clinical condition, mainly caused by trauma. In the past, many physicians treated this disease by ligating the internal carotid artery, often resulting in incomplete treatment with potential recurrence. However, patients with CCF complicated by hemodynamically related aneurysms following recurrence are relatively rare in clinical practice, especially multiple aneurysms in the posterior circulation. This article reports a case of CCF recurrence after internal carotid artery ligation, which subsequently led to the formation of multiple aneurysms in the posterior circulation and eventually ruptured and hemorrhaged. The formation mechanisms and treatment methods of the patient’s CCF and hemodynamically related aneurysms are analyzed through literature review, in order to provide references for clinicians.

Key words: Carotid-cavernous fistula; Internal carotid artery ligation; Hemodynamically related aneurysm; Onyx glue; Spring coil

中图分类号:

毛宏亮, 张海林, 刘吉星, 孙守元. 复发性颈内动脉海绵窦瘘致后循环多发血流相关性动脉瘤破裂1例并文献复习[J]. 中国卒中杂志, 2025, 20(7): 904-910.

MAO Hongliang, ZHANG Hailin, LIU Jixing, SUN Shouyuan. Rupture of Multiple Hemodynamically Related Aneurysms in the Posterior Circulation Due to Recurrent Carotid-Cavernous Fistula: A Case Report and Literature Review[J]. Chinese Journal of Stroke, 2025, 20(7): 904-910.

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复发性颈内动脉海绵窦瘘致后循环多发血流相关性动脉瘤破裂1例并文献复习

Rupture of Multiple Hemodynamically Related Aneurysms in the Posterior Circulation Due to Recurrent Carotid-Cavernous Fistula: A Case Report and Literature Review

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