在急性低甲状腺失衡症 (myxedema危机) 之后的视觉神经病变
Dylan B McBee1, Ping Hei A Lee2, You Zhou3
1School of Medicine, Baylor College of Medicine, Houston, USA.
Cureus
|November 29, 2023
概括
本病例报告详细介绍了一例罕见的冲击诱导性缺血性视神经病变 (SION) 病例,该病例发生在患有混凝土瘤危机 (MC) 的患者身上. 这些发现突出了严重甲状腺功能低下症以前未报告的并发症.
科学领域:
- 内分泌学 在内分泌学.
- 眼科医生 眼科 眼科
- 关键护理医学 关键护理医学
背景情况:
- 混合危机 (MC) 是失控的甲状腺功能低下症的严重表现,具有广泛的全身影响.
- 视神经病是已知的甲状腺功能低下症并发症,但在MC中引起的冲击性缺血性视神经病 (SION) 之前没有被记录.
研究的目的:
- 报告一个患有神经瘤危机的患者的SION病例.
- 描述这种罕见并发症的临床表现和神经眼科发现.
主要方法:
- 一个76岁的女性患有腹部外科手术后双侧视神经病变的病例介绍.
- 详细的临床过程,包括诊断myxedema危机和随后的神经眼科评估.
主要成果:
- 患者在手术后出现了严重的甲状腺功能低下症和神经危机.
- 神经眼科检查显示视野收缩,视觉盘白,视网膜神经纤维层损失与非动脉炎性缺血性视觉神经病变一致.
结论:
- 冲击诱导的缺血性视神经病变是一种潜在的,以前未报告的血危机并发症.
- 这一案例凸显了严重甲状腺功能低下症的关键系统影响以及及时诊断和管理的重要性.
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