双边视觉障碍是由状眼球引起的:一个说明案例
Enrique Jimenez Hakim1, Luis Garcia Rairan2, Julian Guzman3
11Department of Neurosurgery, Fundacion Santa Fe de Bogotá, Bogotá, Colombia.
Journal of neurosurgery. Case lessons
|August 15, 2023
概括
一种罕见的眼瘤通过影响洞穴鼻导致视力丧失. 栓塞成功治疗了瘤,并解决了患者的视觉障碍.
科学领域:
- 神经瘤学神经瘤学
- 血管外科 血管外科
- 眼科医生 眼科 眼科
背景情况:
- 瘤,一种类型的 paraganglioma,通常与听觉,神经,或自主症状.
- 视力障碍是 glomus vagale 瘤的不常见表现.
- 本案例报告详细介绍了与这种罕见瘤有关的前所未有的视力障碍案例.
研究的目的:
- 报告一种双边视力障碍的独特病例.
- 为了突出潜在的,虽然很少见,眼部并发症 glomus vagale瘤.
- 强调这种病例所带来的诊断和治疗挑战.
主要方法:
- 一名62岁的女性,在病史中患有状体瘤切除,出现了突然的视力丧失和两直视.
- 最初的成像显示下垂体腺瘤,这被切除了,但视力损失仍然存在.
- 随后的成像和血管造影揭示了右囊瘤,导致静脉高血压和进入洞穴鼻腔的出血,并用栓塞治疗.
主要成果:
- 患者在最初的手术后经历了渐进的视力下降和黄斑症.
- 血管造影确定了右侧囊瘤作为双边洞穴鼻腔出血的来源.
- 囊瘤的栓塞阻止了出血,并导致症状改善.
结论:
- 这一案例说明了一种罕见的囊瘤呈现,通过洞穴鼻腔出血引起双边视力损伤.
- 由于瘤导致的静脉高血压被认为是视觉损害的机制.
- 成功的栓塞证明了这种罕见的临床场景的可行治疗选择.
相关概念视频
Glaucoma: Overview
621
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
621
Visual Agnosia
237
Visual agnosia is a condition characterized by the inability to recognize visually presented objects despite having normal vision. For instance, a person with visual agnosia can describe the shape and color of an object but cannot identify or name it. This impairment does not affect their visual field, acuity, color vision, brightness discrimination, language, or memory. An example of this condition in a social setting is someone at a dinner party asking for "that silver thing with a round...
237
Photoreceptors and Visual Pathways
6.1K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.1K
Angle Closure Glaucoma: Treatment
560
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
560
Open Angle Glaucoma: Treatment
479
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
479
Cranial Nerves: Types Part I
2.7K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
2.7K


