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"自发性急性颈内动脉夹层致眼缺血综合征一例:多学科管理的重要性"。

"A case of ocular ischemic syndrome in spontaneous acute internal carotid dissection: The importance of multidisciplinary management".

机构信息

Ophthalmology Clinic Department, ASST OVEST Milanese Legnano Hospital, Italy.

Department of Radiology, ASST OVEST Milanese Legnano Hospital, Italy.

出版信息

Eur J Ophthalmol. 2024 Mar;34(2):NP43-NP47. doi: 10.1177/11206721231199516. Epub 2023 Aug 31.

Abstract

AIMS

To emphasize that ocular ischemic syndrome (OIS) is a rare but threatening condition. It is a consequence of occlusion or dissection of internal carotid artery (ICA).

METHODS

A 66-year-old caucasian male presented in the emergency room with painful vision loss in his right eye and mild neurological symptoms. He was diagnosed ocular ischemic syndrome (OIS) in ICA and ophthalmic artery occlusion due to right ICA dissection.

CONCLUSIONS

It is very important to know and be able to recognise OIS as it may often be misdiagnosed or treated as a different entity. Patients with ICA occlusion and OIS must be treated as soon as possible by a stroke unit team to resolve ICA occlusion/dissection and by the ophthalmologist to prevent further ocular related complications.

摘要

目的

强调眼缺血综合征(OIS)是一种罕见但威胁生命的疾病。它是颈内动脉(ICA)阻塞或夹层的后果。

方法

一名 66 岁的白人男性因右眼视力丧失伴轻度神经症状而到急诊就诊。他被诊断为右眼颈内动脉夹层导致的眼缺血综合征(OIS)和眼动脉闭塞。

结论

了解并能够识别 OIS 非常重要,因为它可能经常被误诊或误诊为其他实体。颈内动脉闭塞和 OIS 患者必须尽快由卒中单元团队治疗以解决颈内动脉闭塞/夹层,并由眼科医生预防进一步的眼部相关并发症。

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