牙钻程序引起小脑出血，伴视觉倾斜和未预料到的 CADASIL。
Dental procedure induced cerebellar haemorrhage with visual tilt and unsuspected CADASIL.
机构信息
Neurosurgery, Royal Perth Hospital, Perth, Western Australia, Australia
Neurology, Royal Perth Hospital, Perth, Western Australia, Australia.
出版信息
BMJ Case Rep. 2023 Aug 2;16(8):e253965. doi: 10.1136/bcr-2022-253965.
Abstract
A man in his late 60s had vertigo and vision tilt following a dental procedure. A cerebellar haemorrhage and cerebral microbleeds (CMBs) were diagnosed on imaging. Subsequent testing revealed CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy). The role of the dental procedure as a trigger for intracerebral haemorrhage (ICH) is discussed. The incidence of CMBs and ICH in CADASIL is discussed. A summary of the causes and pathology associated with visual tilt is documented.
摘要
一位 60 多岁的男性在接受牙科手术后出现眩晕和视力倾斜。影像学检查诊断为小脑出血和脑微出血（CMBs）。进一步的检查显示为 CADASIL（伴有皮质下梗死和白质脑病的常染色体显性遗传性脑动脉病）。讨论了牙科手术作为颅内出血（ICH）的诱因的作用。讨论了 CADASIL 中 CMBs 和 ICH 的发生率。记录了与视力倾斜相关的原因和病理学的摘要。
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