颅内脑膜瘤供血动脉栓塞术后的睫状视网膜动脉阻塞
Cilioretinal artery occlusions following embolization of an artery to an intracranial meningioma.
作者信息
Kunikata Hiroshi, Tamai Makoto
机构信息
Department of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2006 Mar;244(3):401-3. doi: 10.1007/s00417-005-0054-z. Epub 2005 Jul 30.
PURPOSE
To report a case in which a prophylactic embolization of a feeder artery to an intarcranial meningioma led to an occlusion of a cilioretinal artery.
DESIGN
A case report.
METHODS
A 48-year-old man with an intracranial meningioma presented with ocular pain and visual loss in his right eye following embolization of a feeder artery to the meningioma with polyvinyl alcohol.
RESULTS
Ophthalmoscopy 1 month later showed a cilioretinal artery occlusion which was confirmed by fluorescein angiography. His visual acuity was 0.01 in the right eye. The patient was not treated for his ocular symptoms, and his visual acuity 9 month postoperatively improved slightly to 0.1.
CONCLUSIONS
Our case demonstrated that an occlusion of a retinal artery can be a complication of preoperative embolization of an artery to an intracranial tumor and can lead to severe visual loss.
目的
报告1例颅内脑膜瘤供血动脉预防性栓塞导致睫状视网膜动脉闭塞的病例。
设计
病例报告。
方法
1例患有颅内脑膜瘤的48岁男性，在用聚乙烯醇对脑膜瘤供血动脉进行栓塞后，出现右眼眼痛和视力丧失。
结果
1个月后眼底检查显示睫状视网膜动脉闭塞，荧光素血管造影证实了这一点。其右眼视力为0.01。患者未针对眼部症状进行治疗，术后9个月视力略有改善，提高到0.1。
结论
我们的病例表明，视网膜动脉闭塞可能是颅内肿瘤供血动脉术前栓塞的一种并发症，并可导致严重视力丧失。
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