下和网膜内液体与关节性前侧缺血性视觉神经病变相关
Danielle Solish1, Jonathan Micieli2
1Department of Medicine, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
Case reports in ophthalmology
|July 17, 2024
概括
亚视网膜下液很少在动脉炎前面缺血性视觉神经病变 (AAION) 中出现. 这一案例突显了它在患有巨细胞动脉炎 (GCA) 的患者身上存在的现象,这表明胆管缺血是原因.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 类风湿病学 类风湿病学
背景情况:
- 前面缺血视神经病变 (AION) 导致突然,永久的视力丧失.
- AION呈现为动脉炎 (AAION) 或非动脉炎 (NAION).
- 亚视网膜下液在AAION中并不常见,与NAION不同.
研究的目的:
- 在AAION报告一个罕见的脑下腺体和脑内腺体液体病例.
- 在AAION中探索这一发现的潜在病理生理学.
- 强调光学连贯断层扫描 (OCT) 在AION的特征化中的作用.
主要方法:
- 一个86岁的女性突然失明的案例介绍.
- 临床检查,包括光盘评估和周围毛囊出血.
- 光学连贯断层扫描 (OCT) 用于评估黄斑液.
- 诊断证实了巨细胞动脉炎 (GCA) 时动脉活检.
主要成果:
- 患者在OCT上呈现了网膜内和下液体.
- 用口服普雷尼松治疗导致液体完全溶解.
- 巨细胞动脉炎 (GCA) 通过动脉活检得到证实.
结论:
- 这是一个与GCA相关的AAION中脑下腺体和脑内腺体液的新案例.
- 冠状腺缺血可能导致透性发生变化,导致液体积累.
- 在GCA相关的视神经病变中,OCT对流体动态的详细表征至关重要.
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