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动脉粥样硬化导致年轻女性急性缺血性脑卒中:伴有视网膜中央动脉阻塞的独特眼部表现:病例报告。

Acute ischemic stroke in young women secondary to atherosclerosis: a unique ophthalmic presentation with central retinal artery occlusion: a case report.

机构信息

Ophthalmology Department "A", Ibn Sina University Hospital (Hôpital des Spécialités), Mohammed V University, Rabat, Morocco.

Neurology Department "B", Ibn Sina University Hospital (Hôpital des Spécialités), Mohammed V University, Rabat, Morocco.

出版信息

Pan Afr Med J. 2022 Mar 9;41:189. doi: 10.11604/pamj.2022.41.189.33147. eCollection 2022.

Abstract

Central retinal artery occlusion (CRAO) is a rare condition. It is a diagnostic and therapeutic emergency. CRAO is analogous to an acute stroke of the eye. The disease usually affects patients after 60 years of age, and rarely young persons. The risk factors for a CRAO are similar to ischemic stroke. It is due to embolic, thrombotic, or coagulation disorders. Typically, patients with acute CRAO present monocular, painless, and severe loss of vision. We report a rare case of a young 33-year-old woman who presented an atypical ischemic stroke revealed by a unilateral CRAO. This case reports a rare condition affecting a young patient, and highlights the interest of ophthalmologic examination in the diagnostic of a neuro disease and the early management of ischemic stroke.

摘要

视网膜中央动脉阻塞(CRAO)是一种罕见的疾病。它是一种诊断和治疗的紧急情况。CRAO 类似于眼部的急性中风。这种疾病通常发生在 60 岁以上的患者中,很少见于年轻人。CRAO 的危险因素与缺血性中风相似。它是由于栓塞、血栓形成或凝血障碍引起的。通常,急性 CRAO 患者表现为单眼、无痛性和严重的视力丧失。我们报告了一例罕见的年轻 33 岁女性病例,她表现为单侧 CRAO 引起的非典型缺血性中风。本病例报告了一种罕见的疾病,影响年轻患者,并强调了眼科检查在神经疾病诊断和缺血性中风早期治疗中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e6c/9120742/b880b2794474/PAMJ-41-189-g001.jpg

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