Perry H D, Mallen F J, Wright G D, Maris P J
Ann Ophthalmol. 1986 May;18(5):168-70.
A 25-year-old white man presented with acute multiple sclerosis manifested by right blindness, difficulty urinating, and paresthesias and weakness of both legs. Retinal examination revealed a distal occlusion of the descending branch of the superior temporal arteriole leading to an area of retinal ischemia of the right eye. The optic disc was edematous, and there were focal areas of periphlebitis. All retinal signs resolved in three weeks, and the only abnormality that persisted was a pale right optic disc. The finding of small arteriolar disease is unusual and may represent another possible pathogenetic mechanism in multiple sclerosis.
一名25岁的白人男性因急性多发性硬化症就诊，表现为右眼失明、排尿困难、双腿感觉异常和无力。视网膜检查显示颞上小动脉降支远端闭塞，导致右眼视网膜缺血区。视盘水肿，并有静脉周围炎的局灶性区域。所有视网膜体征在三周内消失，唯一持续存在的异常是右侧视盘苍白。小动脉疾病的发现并不常见，可能代表多发性硬化症的另一种可能的发病机制。
