在儿童中发生动脉瘤下arachnoid出血的二次特尔森综合征:说明案例
Jacob M Mazza1,2, Parth Tank3, Melissa A LoPresti1
11Division of Pediatric Neurosurgery, Department of Neurosurgery, Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Journal of neurosurgery. Case lessons
|June 24, 2023
概括
特尔森综合征,眼内出血并发症的副arachnoid出血 (SAH),可以影响儿童. 儿科动脉瘤SAH病例的早期眼科检查对于管理视力丧失至关重要.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 儿科神经学 儿科神经学
背景情况:
- 特森综合征涉及眼内出血,其次是脑下关节出血 (SAH).
- 虽然在患有动脉瘤SAH的成年人中很常见,但在儿科病例中很少报告特森综合征.
- 导致SAH的内动脉瘤在儿童中并不常见.
研究的目的:
- 为了突出特尔森综合征发生在患有动脉瘤SAH的儿科患者身上.
- 强调在被诊断为动脉瘤SAH的儿童眼科评估的重要性.
主要方法:
- 一名9岁的男孩出现了发作和精神状态的改变.
- 动脉瘤SAH的诊断通过CT血管造影得到证实,确定了后下脑小动脉动脉瘤.
- 患者接受了内血管卷圈和外腔室排水;特森综合征被诊断为眼科,并保守地管理.
主要成果:
- 一名儿科患者的动脉瘤SAH导致了特森综合征.
- 患者在左眼的视力下降,符合特森综合征.
- 由于眼科发现,开始进行保守的治疗.
结论:
- 特森综合征可以在子arachnoid 出血后的儿童表现出来.
- 对于患有动脉瘤性SAH的儿科患者来说,迅速的眼科评估至关重要,以减轻发病率.
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