Objective: To discuss the diagnosis and treatment strategy of traumatic optic nerve neuropathy (TON) combined with carotid artery injury. Methods: Retrospective analyses were performed 397 cases of TON at Neurosurgery department of Beijing Tongren Hospital, Capital Medical University (CMU), from January 2016 to December 2017.The clinical experience was concluded. Results: 9 cases of Traumatic Pseudo Aneurysm (TPA) and 16 cases of Traumatic Carotid Artery-Cavernous Sinus Fistula (TCCF) were found.7 cases of TPA were treated by covered stent, the other 2 cases were treated by detachable balloons.11 cases of TCCF were treated by detachable balloons, and 5 cases of fistulas were found spontaneously closed by DSA after 1-3 months.There was no disability rate and mortality in this study. Conclusion: TON combined with carotid artery injury was a critical situation, and sometime without obvious symptoms and sign, which was easily miss diagnosed.It should be with more concern in diagnosing and treating in such cases, to avoid disability rate and mortality.
目的： 探讨视神经损伤合并颈内动脉损伤的诊断和治疗策略。 方法： 回顾性分析首都医科大学附属北京同仁医院神经外科自2016年1月至2017年12月收治的视神经损伤病例397例的病例资料。总结神经外科收治此类患者的诊疗经验。 结果： 本组患者颈内动脉假性动脉瘤9例，颈内动脉海绵窦瘘16例。假性动脉瘤中7例行覆膜支架置入，2例行球囊栓塞；颈内动脉海绵窦瘘11例行球囊栓塞，5例临床观察1～3个月后瘘口消失。本组病例无偏瘫、死亡等严重并发症。 结论： 视神经损伤合并颈内动脉损伤病情危重，有时无明显症状、体征，容易漏诊，应予以重视，提高诊断水平，从而降低致残率和死亡率。.
Keywords: Carotid artery; Complication; Optic nerve; Trauma.