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[与烟雾病相关的视盘先天性异常:病例报告]

[Congenital anomalies of the optic disc associated with moyamoya disease: case report].

作者信息

Ghanem Ramon Coral, Nicoletti André Gustavo Bombana, Cunha Leonardo Provetti, Monteiro Mario Luiz Ribeiro

机构信息

Divisão de Oftalmologia do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo SP, Brasil.

出版信息

Arq Neuropsiquiatr. 2005 Jun;63(2A):345-7. doi: 10.1590/s0004-282x2005000200029.

Abstract

Congenital anomalies of the optic disc can be associated with intracranial vascular abnormalities. We report a 9-year old boy with morning glory disc anomaly in one eye and optic disc and infrapapilar choroidal coloboma in the other. His past medical history was remarkable for a transient ischemic attack. A magnetic resonance angiogram of the brain was consistent with moyamoya disease. This case illustrates the important association between optic disc abnormalities and moyamoya disease. Funduscopic examination of suspicious cases can be helpful in establishing the clinical diagnosis. Early identification of the intracranial vascular anomalies may be of help in preventing severe neurological complications.

摘要

视盘先天性异常可能与颅内血管异常相关。我们报告一名9岁男孩,一只眼睛患有牵牛花综合征视盘异常,另一只眼睛患有视盘及视乳头下脉络膜缺损。他过去有短暂性脑缺血发作病史。脑部磁共振血管造影显示符合烟雾病。该病例说明了视盘异常与烟雾病之间的重要关联。对可疑病例进行眼底检查有助于临床诊断的确立。早期识别颅内血管异常可能有助于预防严重的神经并发症。

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