眼睛缺血综合征是脑动脉瘤的次要原因
Landon J Rohowetz1, Patrick Staropoli1, Natasha F S da Cruz1
1Department of Ophthalmology, Bascom Palmer Eye Institute, 900 NW 17th St., Miami, FL, USA.
American journal of ophthalmology case reports
|November 18, 2024
概括
这一案例突显了眼部缺血综合征在一个孩子的 Hemifacial 微小症,由大脑动脉瘤引起. 成功的再血管化改善了眼睛的发现,证明了面发育障碍和血管异常之间的联系.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 遗传学 是一个遗传学.
背景情况:
- 半面微观症是一种罕见的先天性疾病,影响面发育.
- 眼睛缺血综合征 (OIS) 在儿科患者中不常见.
- 在患有面发育障碍的患者中,血管异常可能出现.
研究的目的:
- 为了描述OIS在11岁的男性半面显微症的临床表现.
- 为了确定OIS的根本原因,特别是大脑动脉瘤.
- 为了记录脑动脉瘤治疗后的结果.
主要方法:
- 一个11岁男孩的病例报告,患有 Hemifacial Microsomia 和视力下降.
- 眼科检查包括视镜, funduscopy,和光素血管学.
- 大脑磁共振血管造影用于识别动脉瘤.
- 大脑再血管化的程序 (绕道,绑定,剪切,卷轴).
主要成果:
- 患者出现了与OIS一致的症状,包括视角新血管化和光盘白.
- 磁共振血管造影揭示了大左侧内动脉和前脑动脉动脉瘤.
- 术后1年随访没有显示眼部新血管化,视力敏度仍然是光感知.
结论:
- 这一案例说明了OIS在患有 Hemifacial Microsomia的儿科患者中罕见的原因.
- 它强调了面发育障碍患者可能出现显著的血管异常.
- 对脑动脉瘤的早期诊断和干预对于在这个人群中管理OIS至关重要.
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