Kim Tae Hee, Lee Sonia, Lim Su Jin
aDepartment of Ophthalmology, Saevit Eye Hospital, Goyang, Republic of Korea, California, USA.
bDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, California, USA.
Case Rep Ophthalmol. 2017 Mar 10;8(1):185-189. doi: 10.1159/000456069. eCollection 2017 Jan-Apr.
To report a case of familial retinal arteriolar tortuosity with acute hippocampal infarction.
Single-patient case report.
A 50-year-old woman presented with blurred vision and was found to have cataract, retinal hemorrhages, and tortuous retinal arterioles in both eyes. Similar findings of tortuous retinal arterioles were observed in her daughter and son. In her past history of 6 years prior to the visit, she had been diagnosed with transient global amnesia after brain magnetic resonance imaging, which showed hippocampal infarction and multiple chronic ischemic lesions in the periventricular and subcortical white matter.
Familial retinal arteriolar tortuosity is known to affect the retinal vessels only. To our knowledge, this is the first report of ischemic injury to the brain in a patient with familial retinal arteriolar tortuosity.
报告一例伴有急性海马梗死的家族性视网膜小动脉迂曲病例。
单病例报告。
一名50岁女性因视力模糊就诊，发现双眼患有白内障、视网膜出血和视网膜小动脉迂曲。在她的女儿和儿子中也观察到了类似的视网膜小动脉迂曲表现。在此次就诊前的6年病史中，她经脑磁共振成像检查被诊断为短暂性全面性遗忘症，显示海马梗死以及脑室周围和皮质下白质的多个慢性缺血性病变。
已知家族性视网膜小动脉迂曲仅影响视网膜血管。据我们所知，这是家族性视网膜小动脉迂曲患者发生脑缺血损伤的首例报告。
