Liegl O
Klin Monbl Augenheilkd. 1975 Nov;167(5):704-14.
This paper reports on two cases of bilateral blockage of the carotid vessels many years after X-ray treatment of the neck lymph nodes in childhood. The X-ray overdoses resulted in the damage and shrinkage of the skin and upper connective tissue of the neck. The time of delay from X-ray treatment to the first signs of vessel blockage was 45 years and 51 years. The first patient, male aged 62 years, has dilated vertebral arteries. Nine years after bilateral antiglaucomatous operation (with cataract removal) the intraocular vessel processes have slowed and there is good compensation of the carotid vessels as shown by CNS function. The second patient, female aged 62 years, exhibited moreover a block of the right vertebral artery and stenosis of the left vertebral artery. This resulted in acute blindness of the left eye and then of the right eye 1 1/2 years later. Puncture of the anterior chambers and Iridencleisis (right eye) were performed, but without success. Together, with loss of acuity, she had constantly increasing neurological deficiencies and psychopathological changes consistent with thrombosis of the left vertebral artery. Pathiological and anatomical stenosis in the region of X-ray treatment should have warranted surgical intervention to restore normal circulation.
本文报道了两例儿童期颈部淋巴结接受X线治疗多年后双侧颈动脉血管阻塞的病例。X线过量照射导致颈部皮肤和上部结缔组织受损并萎缩。从X线治疗到血管阻塞首次出现的延迟时间分别为45年和51年。首例患者为62岁男性，椎动脉扩张。双侧抗青光眼手术（同时摘除白内障）9年后，眼内血管进程减缓，中枢神经系统功能显示颈动脉血管有良好的代偿。第二例患者为62岁女性，此外右侧椎动脉阻塞，左侧椎动脉狭窄。这导致左眼急性失明，1年半后右眼也失明。进行了前房穿刺和虹膜切除术（右眼），但未成功。除了视力丧失外，她的神经功能缺陷不断增加，且出现了与左侧椎动脉血栓形成相符的精神病理变化。X线治疗区域的病理和解剖狭窄本应进行手术干预以恢复正常循环。
