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俯卧位CT用于诊断眼内填塞术后硅油脑室迁移

Prone CT for diagnosis of silicone oil intraventricular migration after intraocular tamponade.

作者信息

Carneiro Franklin, Vaz Nicolas Daher

机构信息

Department of Radiology, Instituto Brasileiro de Controle do Cancer, São Paulo-SP, Brazil.

Department of Radiology, Hospital Municipal Cidade Tiradentes, São Paulo-SP, Brazil.

出版信息

Radiol Case Rep. 2019 May 10;14(7):864-867. doi: 10.1016/j.radcr.2019.04.019. eCollection 2019 Jul.

Abstract

Silicone oil tamponade is a frequent treatment for retinal detachment. Intraventricular migration of this agent is rare, but was described previously in patients with chronic glaucoma and atrophy of the optic disc. We describe a patient with prior silicone oil tamponade in the left eye with a noncontrast computed tomography demonstrating hyperattenuating material along the course of the left optic nerve and in the frontal horns of the lateral ventricles, and emphasize the use of prone noncontrast computed tomography as an important diagnostic tool in order to confirm the low specific gravity of the oil agent.

摘要

硅油填充是视网膜脱离的常见治疗方法。该药物的脑室内迁移很少见,但此前在慢性青光眼和视神经萎缩患者中有所描述。我们报告一名曾行左眼硅油填充的患者,其非增强计算机断层扫描显示沿左侧视神经走行及侧脑室额角有高密度物质,并强调使用俯卧位非增强计算机断层扫描作为重要的诊断工具,以确认油剂的低比重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95d0/6514730/3d9c8fc731e0/gr1.jpg

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