Goyal Jawahar Lal, Singh Shalini, Mishra Sarvesh Chandra, Singh Shipra, Singh Divya
Department of Ophthalmology, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.
Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Oman J Ophthalmol. 2022 Jun 29;15(2):133-139. doi: 10.4103/ojo.ojo_215_21. eCollection 2022 May-Aug.
Patients with neurovascular disorders sometimes approach the ophthalmologists with mild ophthalmic clinical features such as conjunctival congestion, slowly progressive proptosis, lateral rectus palsies and at other times with ophthalmic emergencies like sudden increase in proptosis, ophthalmoplegia, diplopia, and ptosis before the onset of neurological manifestations which may be life-threatening if not detected in time. The aim of this article is to focus on ophthalmic manifestations of neurovascular emergencies and role of ophthalmologists in its management. In this communication, to make the ophthalmologist aware of clinical presentations, the imaging modality of choice, diagnostic features, medical and interventional treatments. We have searched PubMed, Web of Science, Google Scholar and reviewed some of the commonly encountered neurovascular emergencies with ocular manifestations such as carotid-cavernous fistula, cerebral venous sinus thrombosis, cerebral artery aneurysms, arterio-venous malformations.
患有神经血管疾病的患者有时会因结膜充血、缓慢进展性眼球突出、外直肌麻痹等轻度眼科临床特征而就诊于眼科医生，有时则会在神经学表现出现之前出现眼球突出突然增加、眼肌麻痹、复视和上睑下垂等眼科急症，如果不及时发现，这些情况可能会危及生命。本文的目的是关注神经血管急症的眼科表现以及眼科医生在其管理中的作用。在本交流中，为了让眼科医生了解临床表现、首选的成像方式、诊断特征、药物和介入治疗。我们检索了PubMed、科学网、谷歌学术，并回顾了一些常见的伴有眼部表现的神经血管急症，如颈动脉海绵窦瘘、脑静脉窦血栓形成、脑动脉瘤、动静脉畸形。
