内动脉剖析呈现过渡性或亚临床的霍纳综合征
Tom Buelens1, Lisa Scifo1, Jérémy Schetgen1
1Department of Ophthalmology, CHU St-Pierre, Brussels, Belgium.
Case reports in ophthalmology
|January 10, 2024
概括
内动脉剖析 (ICAD) 可能出现过渡性霍纳综合征,其特征是暂时的眼垂落和不平等的瞳孔. 对于患有疼痛性霍纳综合征的患者来说,及时调查至关重要,以排除ICAD并预防并发症.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 内动脉剖析 (ICAD) 经常出现头部/部疼痛和脑性缺血.
- 眼部症状,特别是疼痛的霍纳综合征,在多达50%的ICAD病例中发生,是经典诊断三位一体的一部分.
研究的目的:
- 突出霍纳综合征作为ICAD的一个表现特征的重要性.
- 强调在患有疼痛性霍纳综合征的患者中疑似ICAD的及时调查的重要性.
- 讨论药理学测试在诊断亚临床ICAD中的作用.
主要方法:
- 对两名出现ICAD和霍纳综合征症状的患者的病例报告分析.
- 对临床表现,神经成像发现和药理学测试结果 (阿布拉克隆尼丁,可卡因) 的审查.
- 讨论诊断标准和ICAD的管理.
主要成果:
- 这两种病例都显示ICAD与Horner综合征的初始症状 (ptosis,anisocoria) 和头痛.
- 两名患者的症状在几天内消失,但药理学测试证实了在一个病例中持续的亚临床霍纳综合征.
- 早期诊断和治疗ICAD对于预防眼睛和大脑并发症至关重要.
结论:
- 过渡性或亚临床的霍纳综合征可以是ICAD的初始表现.
- 药理学测试对于在临床怀疑很高时识别亚临床病例是有价值的.
- 对于疑似ICAD患有霍纳综合征的患者,及时评估和治疗至关重要.
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