双倍或全失：严重颈动脉狭窄的警示症状，一例报告
Double or nothing: red flag symptoms of critical carotid stenosis, a case report.
作者信息
Morán-Sánchez José Carlos, Gómez-Estévez Irene, El Berdei Yasmina, Gómez-Sánchez José C, Ramos-Araque María E
机构信息
Department of Neurology, University Hospital of Salamanca, Paseo de San Vicente 58-182, 37007, Salamanca, Spain.
Institute of Biomedical Research of Salamanca, University Hospital of Salamanca, Salamanca, Spain.
出版信息
BMC Neurol. 2017 Apr 5;17(1):69. doi: 10.1186/s12883-017-0849-7.
BACKGROUND
Detailed knowledge of every possible manifestation of Internal Carotid Artery (ICA) disease is important. For improving detection and a timely adoption of secondary prevention procedures or treatments. Transient oculomotor nerve palsies have been described associated with stenosis or occlusion of the ICA.
CASE PRESENTATION
We described a patient that develop a sequential combination of transient monocular loss of vision followed by binocular diplopia secondary to an unstable atherosclerotic preocclusive stenosis of an internal carotid artery previously treated with radiotherapy.
CONCLUSIONS
The peculiar sequence of transient monocular vision that give rise later into a transient binocular diplopia (double or nothing) should be kept in mind as a possible manifestation of critical stenosis of ICA.
背景
深入了解颈内动脉（ICA）疾病的各种可能表现非常重要。这有助于提高检测率并及时采取二级预防措施或治疗方法。已有文献报道，短暂性动眼神经麻痹与ICA狭窄或闭塞有关。
病例介绍
我们描述了一名患者，该患者先前接受过放疗，因不稳定的动脉粥样硬化性颈内动脉闭塞前狭窄，先后出现短暂性单眼视力丧失，随后出现双眼复视。
结论
应牢记短暂性单眼视力丧失随后出现短暂性双眼复视（要么复视，要么无异常）这一特殊序列，它可能是ICA严重狭窄的一种表现。
Zotero 插件