视网膜中央动脉阻塞合并颈内动脉瘤。
Central retinal artery occlusion in association with an aneurysm of the internal carotid artery.
作者信息
Haritoglou C, Müller-Schunk S, Weber C, Hoffmann U, Ulbig M W
机构信息
Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.
出版信息
Am J Ophthalmol. 2001 Aug;132(2):270-1. doi: 10.1016/s0149-7944(01)00929-1.
PURPOSE
To report an unusual case of central retinal artery occlusion in a 41-year-old woman.
DESIGN
Interventional case report.
METHODS
A 41-year-old woman presented with sudden and painless decrease of visual acuity of the left eye. Indirect ophthalmoscopy revealed the typical fundus findings of a central retinal artery occlusion. The fovea was spared by a cilioretinal arteriole.
RESULTS
Cerebral angiography showed an aneurysm of the left internal carotid artery, measuring approximately 1.7 x 1.5 x 1.7 cm. The aneurysm was located in close proximity to the ophthalmic branch.
CONCLUSION
Aneurysm of the intracranial arteries should be included in the differential diagnosis of central retinal artery occlusion in young patients.
目的
报告一例41岁女性视网膜中央动脉阻塞的罕见病例。
设计
介入性病例报告。
方法
一名41岁女性因左眼视力突然无痛性下降就诊。间接检眼镜检查发现视网膜中央动脉阻塞的典型眼底表现。黄斑区由一支睫状视网膜小动脉供血。
结果
脑血管造影显示左颈内动脉有一个动脉瘤，大小约为1.7×1.5×1.7厘米。动脉瘤位于眼动脉分支附近。
结论
颅内动脉动脉瘤应纳入年轻患者视网膜中央动脉阻塞的鉴别诊断。
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