逆转缺血性皮质失明的治疗方法是使用基替代剂
Rui Tang1, Maryam Naser2, Saif Aldeen Alryalat2,3
1University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
American journal of ophthalmology case reports
|September 16, 2025
概括
治疗急性缺血性中风的特内克 (TNK) 可以导致可逆视力丧失. 这一案例凸显了TNK治疗前后眼科检查的重要性.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 心脏病学 心脏病学
背景情况:
- 甲 (TNK) 是一种改性甲,具有改善的纤维素结合和更长的半衰期.
- 急性缺血性中风需要及时治疗,以恢复血液流动并尽量减少大脑损伤.
研究的目的:
- 报告Tenecteplase管理后可逆同名 Hemianopsia 的一个病例.
- 提高人们对TNK在急性中风患者的潜在视觉副作用的认识.
主要方法:
- 一名56岁的男性患有急性中风症状,他接受了静脉注射Tenecteplase.
- 记录了临床表现,神经成像 (MRI,CTA) 和视觉结果.
- 在治疗后进行了眼科评估.
主要成果:
- 患者最初的视力丧失到没有光感知,在TNK后改善到20/25 .
- 一个残留的左方同名 Hemianopsia 持续存在.
- 大脑MRI证实了右后脑动脉分布的急性心脏病发作.
结论:
- 丁可与视觉障碍有关,包括同名的视觉障碍.
- 在TNK治疗前后进行全面的眼科评估至关重要.
- 临床医生应该考虑视野缺陷作为TNK的潜在不良影响.
相关概念视频
Blood Transfusion and Agglutination
13.0K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
13.0K
Stem Cell Therapy for Tissue Regeneration
3.8K
Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
3.8K
Blood Transfusion
3.0K
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
3.0K
Bone Marrow Sampling and Transplants
3.0K
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
3.0K
Tissue Transplantation
1.4K
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
1.4K
Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration
377
Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
377


