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永久的单边视力丧失和轨道隔间综合征后单边额头切除术:说明案例
Abdulaziz A Basurrah1, Abdulgadir T Atteiah2, Balgees A Ajlan3
1Departments of Neurosurgery, King Abdullah Medical City, Makkah, Saudi Arabia.
Journal of neurosurgery. Case lessons
|August 19, 2024
概括
手术后视力丧失 (POVL) 可能发生在卧卧式骨切除术后,即使没有典型的危险因素. 这一案例凸显了前额切割时需要保持警和潜在的预防策略的必要性.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
背景情况:
- 手术后视力丧失 (POVL) 是切除术后的一种罕见但严重的并发症.
- 虽然POVL通常与倾向性或心脏手术有关,但在卧床手术后,POVL可能会出乎意料地发生.
研究的目的:
- 报告在卧卧前额头骨切除术后不可逆转的视力丧失病例.
- 审查自1970年以来切除术后对POVL的文献.
- 讨论POVL的潜在病因和预防措施.
主要方法:
- 一个病人的病例报告经历视力损失后腰前切除术.
- 综合文献综述所有报告的POVL病例在骨切割后.
- 对潜在原因和预防策略的分析.
主要成果:
- 该病例呈现出不可逆转的视力损失,尽管躺卧.
- 文献综述总结了历史病例和相关病理 (血管,内轴,外轴病变).
- 人们质疑POVL发病的时间,可能是在手术暴露期间发生的.
结论:
- 预防措施包括尽量减少眼睛的直接压力,使用辅助工具来防止轨道拉伸,并仔细评估静脉排水.
- 需要进一步研究手术内视觉神经生理监测在预测POVL中的作用.
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