外周血管创伤后的过渡性皮质失明:一个病例报告
Dante G Ang1,2, Siegfredo R Paloyo1,2, Ferri P David-Paloyo1,2
1Department of Surgery, University of the Philippines-Philippine General Hospital, Philippines.
Trauma case reports
|August 23, 2024
概括
在外周血管创伤后的过渡性皮质失明是罕见的. 一名年轻的男性在手臂严重受伤的手术后经历了视力损失,但在一周内完全恢复,突出了外科手术前视力损失的非典型原因.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 血管外科 血管外科
背景情况:
- 皮质失明涉及视力损失,尽管正常的眼睛结构,往往是由于脑后叶hyperfusion从中风或栓塞.
- 典型的原因包括脑血管事件和创伤,结果通常是不可逆转的或导致残留视力缺陷.
研究的目的:
- 报告一个在外周血管创伤和手术修复后出现过渡性皮质失明的独特病例.
- 强调考虑外科手术期间视力丧失的不寻常病因的重要性.
主要方法:
- 一个25岁的男性的病例介绍,他的右上臂被撕裂,出血和休克.
- 手术干预涉及手臂动脉修复与软静脉移植插入.
- 术后评估包括对视力丧失的临床评估和脑电脑断层扫描 (CT) 来识别叶梗塞.
主要成果:
- 患者在手术后12小时出现了双边视力严重丧失 (右同名视力丧失).
- 大脑CT证实了叶中的缺血性心脏病发作.
- 视觉症状在观察后一周内自发消失.
结论:
- 这一案例代表了第一个报告过渡性皮质失明的案例,这是外周血管创伤的次要原因.
- 早期识别和诊断术前视力丧失的非典型原因对于改善患者的治疗结果至关重要.
- 自发的解决方案强调了即使在最初呈现严重视力障碍的情况下,恢复的潜力.
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