冠状动脉血管造影后的过渡性皮质失明:一个病例报告
Ying Cai1, Shengyu Huang2, Yuling Jing2
1Cardiovascular Center, Chongqing Hospital of Jiangsu Province Hospital, Chongqing, China.
Frontiers in cardiovascular medicine
|February 26, 2026
概括
过渡性皮质失明,这是血管造影的罕见并发症,即使使用诸如二醇之类的异分体,也可能发生. 这一案例凸显了考虑对比引起的视觉障碍及其恢复潜力的重要性.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 眼科医生 眼科 眼科
背景情况:
- 过渡性皮质失明是一种极其罕见的神经复杂症.
- 它通常与血管造影有关,并被认为涉及暂时的脑后皮层功能障碍.
研究的目的:
- 在冠状动脉血管学之后报告过渡性皮质失明病例.
- 讨论异体对比剂在这种并发症中的潜在作用.
主要方法:
- 一个62岁的高血压妇女的病例报告.
- 冠状动脉动脉扫描使用40毫升的约迪克桑醇 (一种异位透对比剂) 进行.
- 神经学和眼科检查,以及出现的头骨CT和MRI.
主要成果:
- 患者出现了快速的双边视力丧失,在对比剂注射后大约10分钟内进展到完全失明.
- 部成像显示没有急性心脏病发作或出血的证据.
- 随着支持性治疗,视力在一周内逐渐恢复.
结论:
- 隔离的对比剂,如二醇,可能会诱发暂时的皮质失明.
- 底层机制需要进一步研究.
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