Neurosurgery, Royal Perth Hospital, Perth, Western Australia, Australia
Neurology, Royal Perth Hospital, Perth, Western Australia, Australia.
BMJ Case Rep. 2023 Aug 2;16(8):e253965. doi: 10.1136/bcr-2022-253965.
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.
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。
