视觉功能障碍和神经退行引起的严重的炎症性视觉神经病变后卷轴栓塞一个帕拉克林瘤:说明案例
Journal of neurosurgery. Case lessons
|May 13, 2024
概括
延迟视神经病变可能会导致严重的视力丧失后,内血管治疗的帕拉克林诺状动脉瘤. 对于接受这些手术的患者来说,及时识别和管理至关重要.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 血管神经学 血管神经学
背景情况:
- 延迟视神经病变是一种罕见的并发症,是在对类动脉瘤的内血管治疗后出现的.
- 治疗动脉瘤壁中的炎症反应与这种情况有关.
- 这一案例突出了严重的视觉功能障碍和神经元退化.
研究的目的:
- 描述在内血管动脉瘤治疗后出现严重视神经病变的病例.
- 强调仔细监测和管理患者的重要性.
主要方法:
- 一名42岁的女性患有复发性状动脉瘤,接受了线圈栓塞.
- 进行了手术前和手术后的眼科检查.
- 磁共振成像 (MRI) 评估了视神经的状态.
主要成果:
- 患者在手术后出现了渐进的视力损伤,尽管接受了类固醇治疗.
- 眼科检查显示视力敏度下降和视野缺陷.
- 磁力共振成像显示左视神经有显著的胀和.
结论:
- 对状动脉瘤的内血管程序具有严重视神经病变的风险.
- 早期发现微妙的视觉变化至关重要.
- 管理需要谨慎注意,特别是在有症状的动脉瘤.
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