Gutteridge I F, Royle J P, Cockburn D M
Stroke. 1987 Jul-Aug;18(4):808-11. doi: 10.1161/01.str.18.4.808.
A case is presented in-which the detection of venous-stasis retinopathy in one eye led to investigation of the carotid circulation. There were no neurologic symptoms of carotid insufficiency, and noninvasive tests failed to reveal significant carotid pathology. Digital subtraction angiography and carotid angiography demonstrated a carotid plaque of doubtful significance. At carotid endarterectomy, the venous-stasis retinopathy was found to be associated with venous thrombosis distant from the eye and in the internal jugular vein. This site is beyond the range over which isolated ocular vascular effects would be expected and was thought to be unrelated to the hemodynamically insignificant, nonulcerated carotid artery plaque. The possibility of this association being causal is discussed.
本文报告了一例因一眼发现静脉淤滞性视网膜病变而对颈动脉循环进行检查的病例。患者没有颈动脉供血不足的神经症状，无创检查也未发现明显的颈动脉病变。数字减影血管造影和颈动脉造影显示有一个意义可疑的颈动脉斑块。在颈动脉内膜切除术中，发现静脉淤滞性视网膜病变与远离眼部的静脉血栓形成以及颈内静脉血栓形成有关。该部位超出了预期的孤立眼部血管效应范围，并且被认为与血流动力学上无意义的非溃疡性颈动脉斑块无关。本文讨论了这种关联具有因果关系的可能性。
