头痛和短暂性视力丧失作为椎动脉夹层的唯一表现症状：一例病例报告
Headache and transient visual loss as the only presenting symptoms of vertebral artery dissection: a case report.
作者信息
Yvon Camille, Adams Ashok, McLauchlan Duncan, Ramsden Conor
机构信息
Institute of Ophthalmology, University College London, London, UK.
Cardiff University, Cardiff, UK.
出版信息
J Med Case Rep. 2016 Apr 25;10(1):105. doi: 10.1186/s13256-016-0893-8.
BACKGROUND
Vertebral artery dissection is an important cause of stroke in the young and diagnosis is often challenging as symptoms are varied and subtle.
CASE PRESENTATION
A 33-year-old, previously healthy, white male office worker was stretching his neck when he developed sudden left-sided visual loss lasting 5 minutes associated with headache. He had no other neurological symptoms or signs. He was investigated with a computed tomography angiogram, which revealed a left vertebral artery dissection with a right posterior cerebral artery vascular occlusion.
CONCLUSIONS
We describe an atypical case of vertebral artery dissection presenting with sudden transient visual disturbance without neurological signs in an otherwise healthy man. This is a rare but potentially fatal condition that can result in thromboembolic infarction. A high index of suspicion is crucial to make an early diagnosis and avoid devastating neurological outcomes.
背景
椎动脉夹层是年轻人中风的重要原因，由于症状多样且不明显，诊断往往具有挑战性。
病例介绍
一名33岁、既往健康的白人男性办公室职员在伸展颈部时突然出现左侧视力丧失，持续5分钟，并伴有头痛。他没有其他神经系统症状或体征。通过计算机断层血管造影进行检查，结果显示左椎动脉夹层伴右大脑后动脉血管闭塞。
结论
我们描述了一例非典型椎动脉夹层病例，该病例在一名原本健康的男性中表现为突然短暂性视觉障碍且无神经系统体征。这是一种罕见但可能致命的疾病，可导致血栓栓塞性梗死。高度的怀疑指数对于早期诊断和避免毁灭性的神经学后果至关重要。
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