Vaphiades Michael S
Department of Ophthalmology, University of Alabama, Birmingham, Alabama, United States.
Neuroophthalmology. 2022 May 24;46(5):347-348. doi: 10.1080/01658107.2022.2063339. eCollection 2022.
In 2015, we published an enigmatic case in Neuro-Ophthalmology regarding an 18-year-old woman who underwent an initially uneventful ascending aortic aneurysm repair. After 48 h, she developed a progressive supranuclear palsy-like syndrome with no findings on magnetic resonance imaging (MRI), MRI tractography, or functional MRI which correlated with this syndrome. After following our patient over the ensuing years, it became clear that the likely aetiology of these neurologic deficits was the profound deep hypothermia associated with her aortic aneurysm repair.
2015年,我们在《神经眼科学》上发表了一个神秘病例,患者为一名18岁女性,她最初接受了升主动脉瘤修复手术,过程顺利。48小时后,她出现了进行性核上性麻痹样综合征,而磁共振成像(MRI)、MRI纤维束成像或功能MRI均未发现与该综合征相关的表现。在接下来的几年里对我们的患者进行随访后发现,这些神经功能缺损的可能病因是与她的主动脉瘤修复相关的深度低温。