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在Graves眼科病的深侧轨道壁减压后的上层轨道裂纹综合征
Álvaro Bengoa-González1, María-Dolores Lago-Llinás1, Enrique Mencía-Gutiérrez1
1Ophthalmology Department, 12 de Octubre Hospital, Complutense University, Madrid, Spain.
Orbit (Amsterdam, Netherlands)
|March 11, 2024
概括
上层轨道裂综合征 (SOFS) 是一种罕见的并发症,是由于深侧轨道壁减压 (DLOWD) 导致的. 这项研究确定了三例用类固醇成功治疗的病例,突出了轨道手术期间的潜在风险.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 轨道外科手术 轨道外科
背景情况:
- 上层轨道裂 (SOF) 传输的是头骨神经III,IV,VI和V1.
- 上层轨道裂综合征 (SOFS) 是一种罕见的疾病,通常是由创伤,出血或炎症引起的.
- 之前没有报告将SOFS与深侧轨道壁解压力 (DLOWD) 联系起来.
研究的目的:
- 描述高层轨道裂纹综合征 (SOFS) 是深侧轨道壁解压后的潜在并发症.
- 调查SOFS后DLOWD的原因,管理和结果.
主要方法:
- 对于575个深侧轨道壁解压 (DLOWD) 的回顾性审查,用于Graves的眼科医生.
- 根据临床,历史,体检和放射学数据确定了三例SOFS病例.
- 对所有确诊病例进行至少12个月的随访.
主要成果:
- 在DLOWD后诊断出三例SOFS,其特征是眼,死,固定扩张的瞳孔,感官缺陷和缺失角膜反射,视力保持.
- 排除骨折,胀和出血作为原因.
- 在高剂量静脉注射类固醇治疗后,所有三名患者的完全康复.
结论:
- 由于接近关键的神经血管结构,深侧轨道壁解压 (DLOWD) 带来了挑战.
- 高层轨道裂综合征 (SOFS) 可能是由于DLOWD期间对这些结构施加压力而导致的神经压缩引起的.
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