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[一过性单眼盲:血管性病因及鉴别诊断]

[Transient monocular blindness: Vascular causes and differential diagnoses].

作者信息

Bidot S, Biotti D

机构信息

Fondation ophtalmologique Adolphe-de-Rothschild, 25, rue Manin, 75019 Paris, France; Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France.

Service de neurologie B4, neurologie inflammatoire, neuro-ophtalmologie, bâtiment Pierre-Paul-Riquet, place du Dr-Baylac-TSA 40031, 31059 Toulouse cedex 9, France.

出版信息

J Fr Ophtalmol. 2018 May;41(5):453-461. doi: 10.1016/j.jfo.2017.06.027.

Abstract

Transient monocular blindness is an acute episode of ischemic origin in which one eye has profound visual loss, followed by full recovery within one hour. Transient monocular blindness most often occurs in the setting of retinal ischemia secondary to carotid embolism, but other mechanisms have been reported, including thrombosis (most often in the setting of giant cell arteritis), hemodynamic disorders (secondary to severe carotid stenosis) or vasospasm. Transient monocular blindness is considered a transient ischemic attack originating in the carotid arteries and must benefit from the same management as transient ischemic attack involving the brain, in order to prevent a subsequent stroke.

摘要

短暂性单眼盲是一种急性缺血性发作,其中一只眼睛出现严重视力丧失,随后在一小时内完全恢复。短暂性单眼盲最常发生在继发于颈动脉栓塞的视网膜缺血情况下,但也有其他机制的报道,包括血栓形成(最常见于巨细胞动脉炎)、血流动力学障碍(继发于严重颈动脉狭窄)或血管痉挛。短暂性单眼盲被认为是起源于颈动脉的短暂性脑缺血发作,为预防后续中风,必须接受与涉及脑部的短暂性脑缺血发作相同的治疗。

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