作为巨细胞动脉炎的主要表现的单边完全眼和亡:一个病例报告
Abdullah Younis1, Haaris A Shiwani1, Haya Razzouk1
1Manchester Royal Eye Hospital, Manchester NHS Foundation Trust, Manchester, UK.
Neuro-ophthalmology (Aeolus Press)
|September 8, 2025
概括
巨细胞动脉炎 (GCA) 很少表现为多重头骨神经麻,导致亡和眼. 及时的皮质类固醇治疗导致症状缓解,这表明这种罕见的GCA表现的预后有利.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
背景情况:
- 巨细胞动脉炎 (GCA) 是一种系统性血管炎,影响中大动脉.
- 神经是已知的GCA并发症,但通常涉及视力障碍.
研究的目的:
- 报告一种罕见的GCA病例,呈现出多重头骨神经麻,导致完全的眼和亡.
- 要突出这种表现的有利预后,并及时治疗.
主要方法:
- 一个79岁的妇女的病例介绍,她患有阴和双眼视.
- 诊断工作包括炎症标志物和动脉超声波多普勒.
- 治疗包括口服皮质类固醇治疗.
主要成果:
- 这位患者出现了单边完全的眼和亡,视力敏度正常.
- 通过升高的炎症标志物和阳性动脉超声波证实了GCA的诊断.
- 经过皮质类固醇治疗,症状在3周内显著改善.
结论:
- 由于多重头骨神经麻导致的完全眼和亡是GCA的不常见表现.
- 这种特定的呈现,视觉功能被保留,对皮质类固醇治疗反应良好.
- 早期诊断和治疗对于GCA相关的神经麻的良好结果至关重要.
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