眼动脉眶内动脉瘤。
Intraorbital aneurysm of the ophthalmic artery.
作者信息
Garala Pavitra, Virdee Jasvir, Qureshi Madyan, Gillow Timothy
机构信息
Department of Ophthalmology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
出版信息
BMJ Case Rep. 2019 Apr 23;12(4):e227044. doi: 10.1136/bcr-2018-227044.
Abstract
Intraorbital ophthalmic artery (OA) aneurysms are rare. They can be asymptomatic or present with visual disturbances, exophthalmos and headaches. We present a case of a 57-year-old man who presented with reduced vision, diplopia and exophthalmos. A carotid artery angiogram identified a right OA aneurysm. Due to the low risk of rupture and the patient's comorbidities including cardiac and renal impairment, a conservative approach was followed. A few weeks post presentation, the patient's vision and optic nerve function had improved. This case reiterates the importance of considering conservative treatment for patients with intraorbital OA aneurysms.
摘要
眶内眼动脉（OA）动脉瘤较为罕见。它们可以无症状，或表现为视觉障碍、眼球突出和头痛。我们报告一例57岁男性患者，其表现为视力下降、复视和眼球突出。颈动脉血管造影显示右侧眼动脉动脉瘤。由于破裂风险低且患者存在包括心脏和肾脏损害在内的合并症，故采取了保守治疗方法。就诊几周后，患者的视力和视神经功能有所改善。该病例重申了对眶内眼动脉动脉瘤患者考虑保守治疗的重要性。
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2
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3
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Br J Neurosurg. 2014 Dec;28(6):787-90. doi: 10.3109/02688697.2014.913776. Epub 2014 May 5.
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5
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6
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