当眼睛变黑时:在初级皮肤冠状动脉干预后的过渡性皮层失明
Soufiane Touiti1, Oumayma El Khabote2, Siham Hallab1
1Department of Clinical Cardiology, Cardiology B Hospital, Mohammed V University of Rabat, Rabat, MAR.
Cureus
|February 16, 2026
概括
过渡性皮质失明,在皮肤冠状动脉干预 (PCI) 期间对比媒介的罕见并发症,可以模仿中风. 这一案例凸显了其可逆性质,以及迅速诊断和对经历PCI后视力障碍的患者提供支持性护理的重要性.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 过渡性皮质失明是一种罕见但严重的神经并发症,在使用含对比剂的程序后出现.
- 它的症状可能被误认为是急性中风,导致诊断挑战和患者痛苦.
研究的目的:
- 在接受皮肤冠状动脉干预 (PCI) 的患者中报告一个对比诱导的皮层失明病例.
- 强调识别这种并发症的重要性,以区分它与缺血性中风或其他神经紧急情况.
主要方法:
- 一份病例报告,一名49岁的女性患有2型糖尿病,呈现ST升高心肌梗塞.
- 进行了成功的初级PCI,随后是双边失明的急性发作.
- 神经成像 (CT和MRI) 没有显著;启动了补水的支持性治疗.
主要成果:
- 患者在24小时内完全恢复视力.
- 临床过程和负神经成像与对比诱导的皮质失明一致.
- 这种情况归因于短暂的血脑屏障破坏和对比剂的直接神经毒性.
结论:
- 对比引起的皮质失明是PCI的可逆并发症,需要早期识别.
- 区分它与缺血性中风或后逆性脑病综合征对于适当的管理至关重要.
- 支持性护理和患者的安慰是管理这种情况的关键组成部分.
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