Weymouth Wells, Pedersen Craig
San Antonio Military Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas.
Clin Pract Cases Emerg Med. 2019 May 21;3(3):233-236. doi: 10.5811/cpcem.2019.4.40847. eCollection 2019 Aug.
Sudden, painless vision loss in patients with stroke risk factors is suspect for central retinal artery occlusion (CRAO), an ophthalmic emergency that in addition to ocular treatment warrants a thorough neurologic and vascular evaluation. In addition to the high risk of concurrent stroke, carotid artery stenosis and occlusion is often overlooked during the initial evaluation. Here we report a case of CRAO with concurrent ipsilateral complete left internal carotid artery (ICA) occlusion and right ICA critical narrowing, dissection and pseudoaneurysm, which subsequently improved with prompt hyperbaric oxygen therapy.
有中风危险因素的患者突然无痛性视力丧失应怀疑为视网膜中央动脉阻塞（CRAO），这是一种眼科急症，除了眼部治疗外，还需要进行全面的神经和血管评估。除了并发中风的高风险外，在初始评估中，颈动脉狭窄和闭塞常常被忽视。在此，我们报告一例CRAO患者，同时并发同侧左侧颈内动脉（ICA）完全闭塞以及右侧ICA严重狭窄、夹层和假性动脉瘤，该患者随后通过及时的高压氧治疗而病情改善。
