由于脑静脉血栓形成的同名血视:一个病例报告
Woo Seok Choi1, Sook Hyun Yoon, Donghun Lee
1Department of Ophthalmology, Daegu Catholic University School of Medicine, Daegu, Korea.
Medicine
|January 11, 2024
概括
大脑静脉血栓塞 (CVT) 可以呈现非特异性症状,如头痛和同名血视 (HH). 早期考虑CVT对于及时诊断和有利的结果至关重要,即使初步发现微妙.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 眼科医生 眼科 眼科
背景情况:
- 大脑静脉血栓症 (CVT) 诊断往往会因头痛和同名血视 (HH) 等非特异性症状而延迟.
- 这一案例突出了微妙的神经症状和非突出的成像病变在患有HH的患者中所带来的诊断挑战.
研究的目的:
- 在患有同名血眼视障碍的患者中提出延迟CVT诊断的案例.
- 强调在视野缺陷的头痛差异诊断中考虑CVT的重要性.
主要方法:
- 一位65岁的妇女出现了急性头痛和短暂的高血压.
- 最初的神经影像是不确定的;重复的MRI揭示了尾叶异常.
- 大脑血管造影证实左侧横侧鼻血栓,导致静脉排水障碍.
主要成果:
- 这位患者被诊断为左侧横侧鼻血栓,导致右侧HH.
- 开始使用氨酸和华法林的抗凝治疗.
- 头痛在3天内消失,视野缺陷在2周后显著改善.
结论:
- 尽管总体上预后有利,但CVT存在诊断上的困难.
- 头痛伴随着HH,即使没有明显的脑损伤,也需要考虑CVT.
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