@article{oai:dmu.repo.nii.ac.jp:00001019, author = {馬場, 賢 and 鈴木, 利根 and 筑田, 眞 and Baba, Takashi and Suzuki, Tone and Chikuda, Makoto}, issue = {2}, journal = {Dokkyo journal of medical sciences}, month = {Jul}, note = {緒言:眼窩先端症候群をきたし,さらに内頸動脈海綿静脈洞瘻に続発した静脈性梗塞と診断された1 例を報告する.症例:複視,右視力低下,右眼の結膜充血と眼球突出を自覚するも原因精査を受けなかった82 歳女性.3 年後に脳梗塞を発症して内頸動脈海綿静脈洞瘻carotid-cavernous sinus fistula(以下CCF)による静脈性梗塞と指摘された症例.右側頭葉の静脈性梗塞により左眼の耳側半盲をきたした.CCF に続発した脳出血,脳梗塞,脳浮腫などいわゆるaggressive feature を呈することはまれである.結論:眼窩先端部の疾患では眼科,脳神経外科ともに連携して診断・加療をしていくことが重要である., We reported a patient with orbital apex syndrome caused by CCF, followed by cerebral venous infarction. A82-years-old woman presented with diplopia associated with visual loss, conjunctival congestion and proptosis in the right eye. She had not received thorough examinations until she had stroke caused by CCF 3 years later. She also showed temporal hemianopia in the left eye associated withright temporal lobe venous infarction. CCF rarely exhibited cerebral disturbances called `aggressive feature' such as cerebral hemorrhage, infarction and edema. Collaborative approach by ophthalmology and neurosurgery is important to evaluate the patients with orbital apex syndrome., 症例報告}, pages = {123--127}, title = {眼窩先端症候群と同名半盲を来した82 歳女性例}, volume = {39}, year = {2012}, yomi = {ババ, タカシ and スズキ, トネ and チクダ, マコト} }