一个视觉隙中风病例,这种情况在文献中很少被描述
Rita Fideles1, Marina Coelho1, João Araújo1
1Internal Medicine Department, Centro Hospitalar do Oeste, Torres Vedras, Portugal.
European journal of case reports in internal medicine
|January 15, 2024
概括
突然的双边失明可能表明严重的疾病. 这一案例突显了光学瘤中风,这是视力丧失的罕见原因,由于其不寻常的呈现,它提出了诊断挑战.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 放射学 放射学是一门学科.
背景情况:
- 急性双侧失明是一种紧急情况,需要紧急评估危及生命的原因.
- 在诊断突然视力丧失时,区分眼睛,心理和神经病因至关重要.
研究的目的:
- 为了呈现一种罕见的急性双边失明病例,这种失明是由光学瘤中风引起的.
- 讨论诊断的挑战和罕见的呈现的光学瘤发作.
主要方法:
- 一个88岁的男性突然双边视力丧失的案例介绍.
- 眼科检查,对比增强轨道和脑CT,以及用FLAIR和扩散权重成像进行MRI.
主要成果:
- 核磁共振扫描显示了光学和双边光学辐射的限制扩散和FLAIR异常.
- 在初步检查或CT时,没有发现急性眼部或其他神经缺陷.
结论:
- 虽然很少见,但在急性双侧失明的差异诊断中应考虑光学合性中风.
- 光学瘤中风的多样化呈现可能会构成重大诊断挑战.
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