与经皮冠状动脉介入治疗相关的急性冠状动脉综合征伴发一过性外直肌麻痹：病例报告。
Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report.
机构信息
Department of Cardiology, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, 4816117949, Iran.
Department of Cardiology, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
出版信息
J Med Case Rep. 2023 Sep 13;17(1):389. doi: 10.1186/s13256-023-04124-4.
BACKGROUND
Patients who experience angina and acute myocardial infarction often receive diagnostic coronary angiography and percutaneous coronary intervention.
CASE PRESENTATION
A 54-year-old Persian man with acute coronary syndrome was admitted to the hospital and underwent elective percutaneous coronary intervention. Two hours after the procedure, the patient experienced ophthalmoplegia and diplopia. The diagnosis was abducens nerve palsy resulting in transient lateral rectus palsy. The cause is presumed to have been an ischemic event affecting the unilateral abducens nerve. This could have occurred owing to the microembolism during the percutaneous coronary intervention, which resulted in left lateral rectus palsy. Within 1 month, the diplopia was relieved completely, and the physical examination was normal.
CONCLUSION
The occurrence of neuro-ophthalmic complications that may arise from percutaneous coronary intervention is extremely rare. To our knowledge, this is the second reported case of unilateral rectus palsy associated with percutaneous coronary intervention.
背景
心绞痛和急性心肌梗死患者常接受诊断性冠状动脉造影和经皮冠状动脉介入治疗。
病例介绍
一名 54 岁的波斯男性患有急性冠状动脉综合征，被收入医院并接受了选择性经皮冠状动脉介入治疗。术后两小时，患者出现眼肌麻痹和复视。诊断为展神经麻痹导致短暂性外直肌麻痹。病因推测为单侧展神经的缺血事件。这可能是由于经皮冠状动脉介入治疗过程中的微栓塞导致左侧外直肌麻痹。在 1 个月内，复视完全缓解，体检正常。
结论
经皮冠状动脉介入治疗可能引起的神经眼科并发症极为罕见。据我们所知，这是第二例与经皮冠状动脉介入治疗相关的单侧直肌麻痹病例报告。
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