复发的年轻人中风与半视眼
Aparajit Ravikumar1, Swathy Moorthy1, Lakshmi Marappa1
1Internal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|June 12, 2023
概括
轻微升高的homocysteine水平可能表明复发性缺血性中风的风险,即使在年轻人中也是如此. 这一案例凸显了在有脑血管事故史的患者中监测同型半氨酸的重要性.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 同类氨酸是甲氨酸代谢中的有毒中间体.
- 过高homocysteinemia是缺血性中风的潜在危险因素.
研究的目的:
- 在患有高homocysteinemia的患者中呈现复发性缺血性中风的情况.
- 为了研究高水平homocysteine和视觉障碍之间的联系.
- 为了说明诊断过程和管理方面的考虑.
主要方法:
- 一个39岁的男性的病例报告,他有中风病史.
- 眼科检查,包括对抗视觉现场测试.
- 神经成像 (MRI) 来识别心脏病发作.
- 汉弗雷视野 (HVF) 周边测量,以评估视野缺陷.
- 测量血清同型半氨酸水平.
主要成果:
- 这位患者出现了急性视觉障碍,包括双边视野缩小和同名的半视障碍.
- 神经成像显示了右腰腰区域,丘脑和大脑体的急性心脏病发作.
- 观察到血清同类半氨酸水平略升.
- HVF周边测量证实了左侧同名半视,与右侧顶膜心脏病相关.
结论:
- 高水平的homocysteine可能与复发性缺血性中风有关,即使在年轻人中也是如此.
- 视野缺陷,如同名的视近视,可以是脑血管事件的呈现症状.
- 综合调查,包括同类氨酸水平和详细的视野评估,对于治疗复发性中风和神经缺陷的患者至关重要.
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