单侧冠状腺溢出是次要的冠状腺洞穴囊
James Ng1, Fatimah Zara Javaid2, Robert Barker3
1Ophthalmology, Frimley Health NHS Foundation Trust, Frimley, UK james.ng5@nhs.net.
BMJ case reports
|February 11, 2025
概括
一位老年男子患有洞穴鼻血栓症的具有挑战性的病例导致晚期诊断出动脉洞穴囊 (CCF). 冠状腺溢出是识别丸的关键,它通过保守的类固醇治疗得到解决.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 洞穴鼻血栓 (CST) 可以呈现出各种神经和眼科症状.
- 动脉洞 (CCF) 是动脉与洞腔鼻之间异常的连接,经常出现眼和视觉障碍.
- 延迟诊断CCF可能导致显著的视觉发病率.
研究的目的:
- 报告一个最初误诊的CST的独特病例,突出CCF的诊断挑战.
- 突出表达冠状腺输液作为CCF的诊断指标的作用.
- 为了说明CCF的成功保守管理.
主要方法:
- 一份病例报告,详细介绍患者的表现,诊断工作和治疗.
- 最初的呈现与,眼和眼睛疼痛,导致MRI揭示CST.
- 随后,视力敏度下降的发展和 fundal 检查显示胸腔液,促使进一步调查CCF.
主要成果:
- 患者最初出现了暗示CST的症状,并接受了抗凝药和类固醇治疗.
- 四个月后,该患者的视力敏度下降,并观察到胸腔输液.
- 诊断成像证实了右带洞,它随着保守的类固醇管理自发地关闭,导致视觉恢复.
结论:
- 这一案例强调了与CCF相关的诊断困难,特别是在最初的神经事件后呈现时.
- 冠状腺溢出可能是诊断CCF的关键标志,即使是在先前洞腔鼻腔病理的背景下.
- 对于某些类型的CCF,使用类固醇进行保守的管理可能是有效的,从而导致有利的视觉结果.
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