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相对性传入性瞳孔障碍:颈动脉夹层的一种不寻常表现。

Relative afferent pupillary defect: an unusual manifestation of carotid artery dissection.

作者信息

Lazar David, Rodman Adam, Vidal Gabriel

出版信息

Ochsner J. 2012 Summer;12(2):167-9.

Abstract

We report the case of a man with a carotid dissection who had relative afferent pupillary defect (RAPD) that persisted throughout his hospital course. Other causes for RAPD were quickly ruled out. Carotid dissections often have ophthalmic manifestations-including RAPD, which, although uncommon as a presenting sign, can be tested for with the swinging flashlight test.

摘要

我们报告了一例患有颈动脉夹层的男性病例,该患者在整个住院期间一直存在相对性传入性瞳孔障碍(RAPD)。其他导致RAPD的原因很快被排除。颈动脉夹层常伴有眼部表现,包括RAPD,尽管其作为首发症状并不常见,但可通过摆动手电筒试验进行检测。

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引用本文的文献

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1
[Relative afferent pupillary defect in glaucoma].[青光眼的相对性传入性瞳孔障碍]
Klin Monbl Augenheilkd. 2011 Nov;228(11):979-83. doi: 10.1055/s-0031-1273356. Epub 2011 Aug 16.
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Ophthalmic diagnoses in the ED: optic neuritis.急诊科的眼科诊断:视神经炎。
Am J Emerg Med. 2007 Sep;25(7):834-7. doi: 10.1016/j.ajem.2007.01.021.
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Clinical manifestations of carotid dissection.颈动脉夹层的临床表现。
Front Neurol Neurosci. 2005;20:70-76. doi: 10.1159/000088151.
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Spontaneous dissection of the carotid and vertebral arteries.颈动脉和椎动脉自发性夹层
N Engl J Med. 2001 Mar 22;344(12):898-906. doi: 10.1056/NEJM200103223441206.
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Ophthalmologic manifestations of internal carotid artery dissection.颈内动脉夹层的眼科表现。
Am J Ophthalmol. 1998 Oct;126(4):565-77. doi: 10.1016/s0002-9394(98)00136-6.

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