Klinische und echographische Untersuchungsbefunde bei Patienten mit Carotis-Sinus-cavernosus-Fisteln
Huebner L, Struffert T, Mardin C, Engelhorn T, Holbach L, Weller J, Hohberger B, Gusek-Schneider G (2021)
Publication Type: Journal article
Publication year: 2021
Journal
DOI: 10.1007/s00347-020-01310-3
Abstract
Background: Symptoms and clinical findings in patients with carotid-cavernous fistulas are specific. Nevertheless, they can be very mildly expressed. This study aims to point out the potential diagnostic value of ultrasound of the orbit. Methods: A total of 25 patients with a reliable angiographic diagnosis of a fistula were reviewed retrospectively. We analyzed the symptoms, clinical findings and demonstrability in ultrasound of the orbit. Results: The most common clinical findings were nerve palsy, dilation of episcleral vessels and exophthalmos. If an ultrasound had been part of the examination a dilation of the superior ophthalmic vein could be demonstrated in all cases. Conclusion: The expeditious ultrasound investigation provides valuable information for the diagnosis of red eyes which are resistant to treatment. The examiner has to consider a fistula and perform an ultrasound especially when diplopia has newly occurred. Finally, the expedient neuroimaging can be arranged.
Authors with CRIS profile
Christian Mardin
Medizinische Fakultät
Tobias Martin Engelhorn
Department of Neuroradiology
Bettina Hohberger
Department of Ophthalmology
Gabriele Gusek-Schneider
Medizinische Fakultät
Involved external institutions
Germany (DE)How to cite
APA:
Huebner, L., Struffert, T., Mardin, C., Engelhorn, T., Holbach, L., Weller, J.,... Gusek-Schneider, G. (2021). Klinische und echographische Untersuchungsbefunde bei Patienten mit Carotis-Sinus-cavernosus-Fisteln. Ophthalmologe. https://doi.org/10.1007/s00347-020-01310-3
MLA:
Huebner, L., et al. "Klinische und echographische Untersuchungsbefunde bei Patienten mit Carotis-Sinus-cavernosus-Fisteln." Ophthalmologe (2021).
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