玻璃体内硅油向侧脑室的迁移。
Intravitreal Silicone Oil Migration Into the Lateral Cerebral Ventricles.
作者信息
Cao Jessica L, Browne Andrew W, Clifford Thomas, Sharma Sumit, Patel Vivek
机构信息
Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
出版信息
J Vitreoretin Dis. 2019 Nov;3(6):466-473. doi: 10.1177/2474126419875298. Epub 2019 Sep 25.
PURPOSE
Silicone oil (SO) is often used as an intraocular tamponade in repairs of retinal detachments. It may be associated with complications such as cataract, glaucoma, keratopathy, subretinal migration of oil, fibrous epiretinal and sub retinal proliferations, and oil emulsification. The purpose of this report is to describe a rare phenomenon of intraocular silicone oil migration into the cerebral ventricles, which may later be mistaken for intraventricular hemorrhages on neuroimaging.
METHODS
Case report with literature review.
RESULTS
A patient with a history of retinal detachment repair with intraocular SO presented with headaches. Neuroimaging revealed SO migration to the cerebral ventricles. The patient was treated conservatively with symptom management and headaches resolved.
CONCLUSIONS
We present a case of intraocular SO migration to the cerebral ventricles and review the current literature. We also propose two mechanisms for this phenomenon.
目的
硅油（SO）常用于视网膜脱离修复术中作为眼内填充剂。它可能与白内障、青光眼、角膜病变、硅油视网膜下迁移、视网膜前和视网膜下纤维增生以及硅油乳化等并发症相关。本报告的目的是描述一种罕见的眼内硅油迁移至脑室的现象，这种现象在神经影像学检查中后期可能被误诊为脑室内出血。
方法
病例报告并进行文献复习。
结果
一名有眼内硅油填充视网膜脱离修复术病史的患者出现头痛症状。神经影像学检查显示硅油迁移至脑室。该患者接受了对症保守治疗，头痛症状缓解。
结论
我们报告了一例眼内硅油迁移至脑室的病例并复习了当前文献。我们还提出了这一现象的两种机制。
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