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분만 후 여성에서 발생한 거대동맥류에 의한 경동맥해면정맥동루

Carotid-Cavernous Fistula Due to Giant Aneurysm in a Postpartum Woman

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초록

A carotid-cavernous fistula (CCF) is an abnormal communication between the venous cavernous sinus and the carotid artery. The rupture of an intracavernous aneurysm is usually caused by trauma, but spontaneous rupture can also occur, with pregnancy being a contributing factor. We report a case of direct CCF due to rupture of a giant aneurysm in a postpartum woman.

Abstract

A carotid-cavernous fistula (CCF) is an abnormal communication between the venous cavernous sinus and the carotid artery. The rupture of an intracavernous aneurysm is usually caused by trauma, but spontaneous rupture can also occur, with pregnancy being a contributing factor. We report a case of direct CCF due to rupture of a giant aneurysm in a postpartum woman.

참고문헌 (9)

  1. 임미혜, "양측 경질막 목동맥해면정맥동루에 의한 편측 외전신경마비", 대한신경과학회지, 27(3), pp.282~285 (2009), 대한신경과학회
  2. Sung KB, "A case of carotid cavernous fistula presenting with “delayed red-eyed shunts”", J Korean Balance Soc, 5, pp.307~310 (2006)
  3. Barrow DL, "Classification and treatment of spontaneous carotid-cavernous sinus fistulas", J Neurosurg, 62, pp.248~256 (1985)
  4. Wanke I, "Carotid-cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery:treatment with selective endovascular occlusion of the aneurysm", J Neurol Neurosurg Psychiatry, 71, pp.784~787 (2001)
  5. Lin TK, "Spontaneous intracerebral hematoma from occult carotid-cavernous fistula during pregnancy and puerperium. Case report", J Neurosurg, 76, pp.714~717 (1992)
  6. van Rooij WJ, "Ruptured cavernous sinus aneurysms causing carotid cavernous fistula: incidence, clinical presentation, treatment and outcome", Am J Neuroradiol, 27, pp.185~189 (2006)
  7. 김승훈, "눈운동장애 없이 시력 저하를 보인 해면정맥동 내경동맥류 1예", 대한안과학회지, 53(3), pp.486~491 (2012), 대한안과학회
  8. Miller NR, "Welsh & Hoyt’s clinical neuro-ophthalmology", pp.2263~2296 (1997), Williams and Wilkins
  9. Yeung SW, "Spontaneous carotid cavernous fistula complicating pregnancy", Hong Kong Med J, 19, pp.258~261 (2013)

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