缺血视神经病变与内 Carotid 动脉解剖之间的关系: 一个系统的审查
Matteo Ripa1, Neeraj Apoorva Shah1, Chiara Schipa2,3
1Department of Ophthalmology, Sankara Eye Hospital, Jaipur 302039, Rajasthan, India.
Journal of clinical medicine
|May 11, 2024
概括
内动脉剖析 (ICAD) 可能导致缺血性视神经病变 (ION),虽然很少见. 眼科医生应考虑ICAD在年轻的成年人视力损失和头痛.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 缺血性视神经病变 (ION) 是视力丧失的重要原因之一.
- 内动脉解剖 (ICAD) 是一种不太常见但严重的血管疾病.
- ICAD和ION之间的关联需要进一步调查.
研究的目的:
- 系统地审查和评估有关ICAD和ION之间联系的现有证据.
- 综合研究中对这一特定关联的研究结果.
- 评估有关ICAD作为ION的原因的证据质量.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 在Scopus,Pubmed和Embase数据库中搜索相关研究.
- 包括研究详细介绍了ICAD和ION发展之间的相关性;使用NOS和JBI检查清单评估质量.
主要成果:
- 鉴定了198个手稿,其中14项研究被选为合成.
- 分析了ICAD后ION的16名患者,他们经历了前部,后部或组合ION.
- 大多数ICAD病例 (14/16) 是自发的,有两例归因于创伤;患者的平均年龄约为49岁.
结论:
- 内动脉解剖 (ICAD) 是一种罕见但潜在的缺血性视神经病变 (ION) 的原因.
- 眼科医生应在ION的差异诊断中考虑ICAD,特别是在出现头痛和视力减弱的年轻患者中.
- 本次审查强调了承认ICAD是ION的原因对于及时诊断和管理的重要性.
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