44. 頸動脈海綿静脈洞瘻に対するElectrothrombosisの治療経験

抄録

Electrothrombosis by copper wire insertion into the cavernous sinus through a frontotemporal craniotomy was undertaken in five cases of CCF.
A direct current was applied until a thrombus was confirmed angiographically, and the wires were left in place. The closure of the fistula was verified by intra-or-postoperative angiograms. However in two cases the preoperative sixth and third nerve palsy temporarily worsened after the operation and in one case the internal carotid artery was obstructed, which necessitated EC-IC bypass.
The results of thrombosis in five cases of CCF suggest that intracavernous wire thrombosis may prove to be the treatment of choice.