脳静脈血栓症による脳内高血圧による急性双方の視力低下:症例報告
Pradeep Kumar Panigrahi1, Srikanta Kumar Sahoo2, Kathasagaram Aruna Gayathri3
1Department of Ophthalmology, Institute of Medical Sciences & SUM Hospital, Siksha O Anusandhan (deemed to be) University, 8-Kalinga Nagar, Bhubaneswar, 751003, India. pradeepkumarpanigrahi@soa.ac.in.
BMC ophthalmology
|September 1, 2025
まとめ
両眼の突然の視力低下は,脳静脈血栓症 (CVT) の稀な症状であり,頭蓋内圧が上昇する可能性があります. 早期の診断と治療は 視力の回復に不可欠です
科学分野:
- 神経学
- 眼科について
背景:
- この症例報告は 稀な双方の視力喪失の事例を詳細に説明します
- 視力の喪失は脳静脈血栓症 (CVT) に起因し,脳内圧力の悪性上昇を引き起こした.
研究 の 目的:
- 突然の双方の視力喪失の 珍しいケースを記述します
- CVT,頭蓋内圧上昇,視力の低下との関連を強調する.
- 視覚的予後に対する早期診断と治療の重要性を強調する.
主な方法:
- 23歳の男性です 一週間前に突然双方の視力を失いました
- 診断の評価には,底部検査,脳の磁気共鳴画像 (MRI) および脳脊髄液 (CSF) 圧力測定が含まれていた.
- 検査では多細胞血症と血清ホモシステイン値上昇が確認されました.
主要な成果:
- MRIでは 大脳静脈の中枢が 閉塞していることが分かりました
- CSFの開口圧が著しく上昇した (40 cm H2O).
- 治療後,視力は改善され,パピルエーマは1ヶ月以内に解消しました.
結論:
- 悪性頭蓋内圧上昇は,稀に突然の双方の視力低下として表れる.
- 早期診断とCVTの迅速な介入は,好ましい視覚的結果と関連しています.
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