脊椎病手术后的出血性视网膜病变与癫痫发作
Hemorrhagic Retinopathy after Spondylosis Surgery and Seizure.
作者信息
Kord Valeshabad Ali, Francis Andrew W, Setlur Vikram, Chang Peter, Mieler William F, Shahidi Mahnaz
机构信息
*MD, MPH †MD ‡PhD Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois (all authors).
出版信息
Optom Vis Sci. 2015 Aug;92(8):e190-3. doi: 10.1097/OPX.0000000000000637.
PURPOSE
To report bilateral hemorrhagic retinopathy in an adult female subject after lumbar spinal surgery and seizure.
CASE REPORT
A 38-year-old woman presented with bilateral blurry vision and spots in the visual field. The patient had lumbar spondylosis surgery that was complicated by a dural tear with persistent cerebrospinal fluid leak. Visual symptoms started immediately after witnessed seizure-like activity. At presentation, visual acuity was 20/100 and 20/25 in the right and left eye, respectively. Dilated fundus examination demonstrated bilateral hemorrhagic retinopathy with subhyaloid, intraretinal, and subretinal involvement. At 4-month follow-up, visual acuity improved to 20/60 and 20/20 in the right and left eye, respectively. Dilated fundus examination and fundus photography showed resolution of retinal hemorrhages in both eyes.
CONCLUSIONS
The first case of bilateral hemorrhagic retinopathy after lumbar spondylosis surgery and witnessed seizure in an adult was reported. Ophthalmic examination may be warranted after episodes of seizure in adults.
目的
报告一名成年女性在腰椎手术后癫痫发作后出现双侧出血性视网膜病变。
病例报告
一名38岁女性出现双侧视力模糊及视野中有斑点。该患者接受了腰椎间盘突出症手术，术后出现硬膜撕裂并伴有持续性脑脊液漏。在目睹类似癫痫发作的活动后，视觉症状立即出现。就诊时，右眼视力为20/100，左眼视力为20/25。散瞳眼底检查显示双侧出血性视网膜病变，累及玻璃体下、视网膜内和视网膜下。在4个月的随访中，右眼视力提高到20/60，左眼视力提高到20/20。散瞳眼底检查和眼底摄影显示双眼视网膜出血均已消退。
结论
报道了首例成年患者在腰椎间盘突出症手术后癫痫发作后出现双侧出血性视网膜病变。成人癫痫发作后可能需要进行眼科检查。
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