在患有过渡性单眼视力丧失的年轻患者中进行调查的收益率:一项前性研究
Irina Sverdlichenko1, Laura Donaldson2, Edward Margolin3
1From the Faculty of Medicine (I.S.), University of Toronto, Toronto, Ontario, Canada.
American journal of ophthalmology
|September 10, 2023
概括
在年轻成年人中,暂时单眼视力丧失 (TMVL) 需要对栓塞源进行彻底调查. 在15%的病例中,神经成像和心脏检查显示了需要治疗的异常.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 心脏病学 心脏病学
背景情况:
- 在年轻成年人中,暂时单眼视力丧失 (TMVL) 的评估尚未标准化.
- 确定年轻TMVL患者的栓塞源系统检查的产量至关重要.
研究的目的:
- 评估45岁以下患有TMVL的患者的神经成像和心脏检查的诊断产量.
- 为年轻成人经历TMVL.指导适当的管理策略.
主要方法:
- 对患有TMVL的年轻成人患者进行前性队列研究.
- 所有患者都接受了神经成像 (心动脉的CTA/MRA,脑的MRI) 和心脏工作 (TTE,霍尔特监测).
主要成果:
- 15%的参与者有异常发现.
- 确定了一例纤维肌力发育不良症和两例 patent foramen ovale 的病例.
- 偏头痛很常见,但视力丧失期间的头痛并不排除潜在的病理.
结论:
- 患有TMVL的年轻患者从神经成像和心脏评估中受益.
- 识别栓塞源并启动治疗可以预防未来的并发症.
- 视网膜偏头痛应该是 TMVL 与并发性头痛的情况下排除的诊断.
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