大型眼动脉动脉瘤血管内栓塞后视神经完全切断。
Complete Transection of Optic Nerve After Endovascular Coiling of a Large Ophthalmic Artery Aneurysm.
机构信息
Department of Neurosurgery, Antwerp University Hospital, Edegem, Belgium.
Faculty of Medical and Health Sciences, University of Antwerp, Wilrijk, Belgium; Department of Neurology, Antwerp University Hospital, Edegem, Belgium.
出版信息
World Neurosurg. 2019 Dec;132:81-86. doi: 10.1016/j.wneu.2019.08.154. Epub 2019 Aug 30.
BACKGROUND
We describe a patient who developed delayed blindness of the left eye at 5 weeks after endovascular coiling of a large ophthalmic aneurysm.
CASE DESCRIPTION
A 44-year-old male was admitted with visual decline due to compression of the optic nerve by a large ophthalmic aneurysm. The aneurysm was treated by endovascular coiling, but visual function was unchanged. One month and 7 days later, the patient developed sudden blindness of the affected eye, despite complete angiographical occlusion of the aneurysm. Surgical exploration in an attempt to restore vision showed a fully thrombosed aneurysm but, surprisingly, complete transection of the optic nerve just proximal to its entry into the optic canal.
CONCLUSIONS
This report describes a rare complication of a sudden increase in size of a large ophthalmic aneurysm despite successful endovascular occlusion.
背景
我们描述了一位患者，他在眼动脉瘤血管内栓塞后 5 周出现左眼延迟性失明。
病例描述
一名 44 岁男性因大型眼动脉瘤压迫视神经而出现视力下降，该动脉瘤通过血管内栓塞治疗，但视力无改善。1 个月零 7 天后，患者出现受累眼突然失明，尽管动脉瘤完全血管造影闭塞。为恢复视力而进行的手术探查显示，动脉瘤完全血栓形成，但令人惊讶的是，视神经在进入视神经管的近端完全横断。
结论
本报告描述了尽管大型眼动脉瘤的血管内栓塞成功，但仍发生动脉瘤突然增大的罕见并发症。
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