血清性冠状腺脱落与怀疑的逆侧洞腔 sinus 血栓相关
Dominic M Choo1, Arjun G Merchant, Angeline L Wang
1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX.
Retinal cases & brief reports
|August 9, 2024
概括
洞穴鼻血栓形成 (CST) 可能导致冠状腺脱落 (CD),一种液体在冠状腺下积聚的情况. 迅速识别和管理CST对于解决CD等相关的眼部并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 血管成像 血管成像
背景情况:
- 洞穴鼻血栓症 (CST) 是一种罕见但严重的疾病,涉及洞穴鼻中血块的形成.
- CST的眼部表现可能是多样化的,包括视力丧失和眼外肌肉功能障碍.
- 冠状腺脱落 (CD) 通常与低血压或炎症有关,但与CST的关联较少.
研究的目的:
- 报告发生于洞穴性鼻血栓 (CST) 的次要病例的冠状腺脱落 (CD).
- 强调在呈现眼部症状和疑似CST的患者中考虑CD的重要性.
主要方法:
- 一份病例报告,详细介绍了CST和CD患者的临床表现,诊断工作和管理.
- 使用计算机断层扫描静脉图,诊断血管图,扩张 fundus 检查和磁共振成像 (MRI) 进行诊断.
主要成果:
- 一名73岁的男性有史以来的玻璃眼和伪眼病,呈现出右眼疼痛,视力模糊和双眼视.
- 最初的成像表明了带-洞穴 (CCF),但随后的血管造影排除了这一点,并表明了CST.
- fundus 检查和MRI 显示了右眼中的多个血清性胆道脱落,通过全身 CST 治疗和局部类固醇可解决.
结论:
- 在洞穴性鼻血栓形成过程中,应认识到冠状腺脱落是潜在的并发症.
- 中枢静脉系统的静脉排水受损可能导致液体转流到周血管空间,从而导致冠状腺溢出和脱落.
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