海绵窦动静脉瘘(以下简称A—V 瘘)有外伤史者多见约占75—80%,临床上诊断并不困难。而特发性者,如临床表现不典型时则要依靠颈动脉造影才能诊断。作者遇见1例,就诊月余,后经造影始确诊。鉴于特发性海绵窦A—V 瘘较少见,本文拟将国内已报告的5例与本例一起作一综合讨论,旨在提高对本病的认识。病例报告患者女45岁1986年4月27日晨4时突发右侧头痛眼痛,恶心呕吐,2小时后 Cavernous sinus arteriovenous fistula (hereinafter referred to as A-V fistula) have a history of trauma about 75-80%, the clinical diagnosis is not difficult. The idiopathic, such as atypical clinical manifestations will have to rely on carotid angiography can be diagnosed. The author met in 1 case, after more than a month, after the initial diagnosis of angiography. In view of the Idiopathic cavernous sinus A-V fistula is rare, this article intends to report five cases have been combined with this case to discuss, aimed at raising awareness of the disease. Case Report Female Female 45 years old April 27, 1986 morning 4:00 Sudden right headache eye pain, nausea and vomiting, 2 hours later