双边光盘附带资产二次高流量持续动脉静脉:一个诊断困境
Sampada Dattatray Kulkarni Irlekar1, Ramesh Kekunnaya2, Virender Sachdeva3
1Child Sight Institute, Jasti V Ramanamma Children's Eye Care Centre, LV Prasad Eye Institute, KAR Campus, Hyderabad, Telangana, India.
BMJ case reports
|May 15, 2024
概括
一名患有糖尿病和高血压的老年男子因持续性动脉静脉囊而经历了视力损失. 治疗涉及奥尼克斯液体栓塞,成功地解决了这种情况.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 持续性动脉静脉 (dAVF) 是 dura mater 动脉和静脉鼻腔之间的异常连接.
- 它们会导致各种神经和眼科症状,包括视力丧失.
研究的目的:
- 报告一种由多焦点高流量持续性动脉静脉囊引起的双边无痛视力丧失病例.
- 为了突出诊断过程和成功的内血管治疗这种罕见的情况.
主要方法:
- 一个患有渐进性视力丧失的患者的临床表现和眼科检查.
- 神经成像包括MRI和脑血管造影来诊断长期动脉静脉.
- 使用欧尼克斯液体剂进行内血管栓塞治疗.
主要成果:
- 患者出现视力敏度下降,视野缺陷和光盘白.
- 大脑血管造影证实了多焦点高流动的dAVF,涉及右甲孔,横腔和西格 sinus.
- 成功的栓塞导致了管的解脱.
结论:
- 多焦点高流量持续性动脉静脉囊可以导致严重的眼科并发症.
- 通过先进的神经成像及及时的内血管治疗进行早期诊断对于保持视力至关重要.
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