MacIntosh Peter W, Jain Sachin, Moss Heather E, Volpe Nicholas J, Alaraj Ali
Department of Ophthalmology and Visual Sciences, University of Illinois College of Medicine, Chicago, Illinois, USA.
Department of Ophthalmology and Visual Sciences, University of Illinois College of Medicine, Chicago, Illinois, USA.
Surv Ophthalmol. 2014 Nov-Dec;59(6):664-70. doi: 10.1016/j.survophthal.2014.01.010. Epub 2014 Apr 23.
A 66-year-old man with chronic kidney disease presented with painless unilateral vision loss and bilateral optic disk swelling. Vision loss progressed in the affected eye and developed in the fellow eye. Evaluation for infectious, neoplastic, ischemic, and inflammatory disorders was unrevealing. High-dose corticosteroids appeared to stabilize his vision temporarily. Eventually he was diagnosed with papilledema in the setting of transverse venous sinus stenosis and dural arteriovenous fistula. His papilledema resolved, and his vision improved following stenting of the venous sinus stenosis and embolization of the fistula.
一名患有慢性肾脏病的66岁男性出现无痛性单眼视力丧失和双侧视盘肿胀。患眼视力丧失进展,并在对侧眼出现。对感染性、肿瘤性、缺血性和炎性疾病的评估均未发现异常。高剂量皮质类固醇似乎暂时稳定了他的视力。最终,他被诊断为横窦静脉狭窄和硬脑膜动静脉瘘情况下的视乳头水肿。在静脉窦狭窄支架置入和瘘管栓塞后,他的视乳头水肿消退,视力改善。