How to treat cavernous sinus infection

summary

Carotid cavernous sinus fistula, most people may not be familiar with this disease, but it is indeed a neuro ophthalmic disease that may occur around us. We should have some understanding of it. At the same time, patients should also have a certain understanding of its treatment methods, so as to reduce the psychological burden and correctly deal with the disease. Next, let's talk about how to treat it.

How to treat cavernous sinus infection

Method 1: vascular ligation, simple vascular ligation, ligation of common carotid artery, internal carotid artery or external carotid artery through neck, some patients were cured. Because the blood supply of fistula is disordered, most cases can not be completely cured or relapse after treatment

Method 2: isolation of cavernous sinus is a more complete method. The internal carotid artery was ligated in the neck, and then craniotomy was performed. Before the posterior communicating branch was separated, the internal carotid artery was closed with a silver clip. The posterior orbital apex and the upper wall of the optic canal were removed, and the ophthalmic artery was closed with a silver clip outside the optic nerve. The main access of internal carotid artery in cavernous sinus was blocked. This kind of operation is suitable for the treatment of high flow fistula.

Method 3: there is fetal artery or arteriovenous communication between internal carotid artery and cavernous sinus. After birth, it can be found that there is congenital thin arterial wall, unable to withstand high arterial pressure and spontaneous rupture. Most experts believe that the latter is the main cause of dural cavernous fistula.

matters needing attention

The above method is the first choice for the treatment of this disease, which can make some patients recover, or the performance and signs have different degrees of relief, but most cases can not recover or relapse after recovery, and can form cerebral ischemia, which is less used at present.