眼内硅油脑内迁移伴严重亚急性头痛：一例报告
Intraocular silicone oil brain migration associated with severe subacute headaches: a case report.
作者信息
Mazzeo Thiago José Muniz Machado, Jacob Gabriel Almeida Veiga, Horizonte Paulo Henrique, Leber Henrique Monteiro, Gomes André Marcelo Vieira
机构信息
Retina and Vitreous Department, Suel Abujamra Institute, Tamandaré, 693 - Liberdade, 01525-001, São Paulo, Brazil.
出版信息
Int J Retina Vitreous. 2021 Feb 15;7(1):10. doi: 10.1186/s40942-020-00273-6.
PURPOSE
The aim of this article is to report a rare case in which a patient presented symptomatic silicon oil brain migration, documented by MRI, several years after vitreoretinal surgery.
METHODS
This is a case report with a prospective literature review.
PATIENTS
The patient described in the case report.
RESULTS
Case report.
DISCUSSION/CONCLUSIONS: For several years, silicone oil (SiO) has been widely used as a long-term intravitreal tamponading agent to treat complex retinal detachments. There are rare reports in the literature demonstrating the migration of SiO into the brain. The aim of this article is to report a rare case in which the patient presented severe headaches several years after vitreoretinal surgery, with migrated SiO appearing in MRI as an oval lesion within the horn of the right lateral ventricle. To the best of our knowledge, there are very few reports of symptomatic SiO brain migration in the literature.
目的
本文旨在报告一例罕见病例，该患者在玻璃体视网膜手术后数年出现有症状的硅油脑内迁移，磁共振成像（MRI）证实了这一情况。
方法
这是一篇伴有前瞻性文献综述的病例报告。
患者
病例报告中描述的患者。
结果
病例报告。
讨论/结论：数年来，硅油（SiO）已被广泛用作治疗复杂性视网膜脱离的长期玻璃体内填塞剂。文献中有罕见报道显示SiO会迁移至脑部。本文的目的是报告一例罕见病例，该患者在玻璃体视网膜手术后数年出现严重头痛，MRI显示迁移至脑部的SiO在右侧脑室角内呈椭圆形病灶。据我们所知，文献中关于有症状的SiO脑内迁移的报道极少。
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