与头部或颈部疼痛相关的视网膜中央动脉阻塞揭示了自发性颈内动脉夹层。
Central retinal artery occlusion associated with head or neck pain revealing spontaneous internal carotid artery dissection.
作者信息
Mokhtari F, Massin P, Paques M, Biousse V, Houdart E, Blain P, Gaudric A
机构信息
Department of Ophthalmology, Hôpital Lariboisiére, Paris, France.
出版信息
Am J Ophthalmol. 2000 Jan;129(1):108-9. doi: 10.1016/s0002-9394(99)00318-9.
PURPOSE
To report two cases of head or neck pain and central retinal artery occlusion associated with spontaneous dissection of the ipsilateral internal carotid artery.
METHODS
Case reports.
RESULTS
We describe two cases of sudden visual loss caused by central retinal artery occlusion. Both cases were preceded by ipsilateral headaches or neck pain and tinnitus. The patient had no other neurological signs or history of trauma. In both cases, cerebral angiography revealed ipsilateral internal carotid artery dissection.
CONCLUSION
Ipsilateral headache or neck pain with tinnitus preceding central retinal artery occlusion is highly suggestive of internal carotid artery dissection. Early diagnosis and treatment may reduce the risk of hemispheric stroke.
目的
报告两例与同侧颈内动脉自发性夹层相关的头颈部疼痛和视网膜中央动脉阻塞病例。
方法
病例报告。
结果
我们描述了两例因视网膜中央动脉阻塞导致的突然视力丧失病例。两例均先出现同侧头痛或颈部疼痛及耳鸣。患者无其他神经系统体征或外伤史。两例脑血管造影均显示同侧颈内动脉夹层。
结论
视网膜中央动脉阻塞前出现同侧头痛或颈部疼痛及耳鸣高度提示颈内动脉夹层。早期诊断和治疗可能降低半球性卒中的风险。
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