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颈内动脉迂曲扩张致视神经受压:病例报告

Optic nerve compression by a dolichoectatic internal carotid artery: case report.

作者信息

Colapinto E V, Cabeen M A, Johnson L N

机构信息

Division of Neurosurgery, Mason Eye Institute, University of Missouri Hospitals and Clinics, Columbia, Missouri, USA.

出版信息

Neurosurgery. 1996 Sep;39(3):604-6. doi: 10.1097/00006123-199609000-00035.

DOI:10.1097/00006123-199609000-00035
PMID:8875495
Abstract

OBJECTIVE AND IMPORTANCE

Compression of the optic nerve by a dolichoectatic internal carotid artery is a rare and correctable cause of visual loss.

CLINICAL PRESENTATION

A young woman presented with right eye visual loss without obvious cause and was found to have compression of the right optic nerve by the ipsilateral internal carotid artery, as revealed by magnetic resonance imaging.

INTERVENTION

Pterional craniotomy and decompression of the optic nerve by unroofing the optic canal resulted in improvement of vision in the affected eye.

CONCLUSION

Compression of the optic nerve by a dolichoectatic internal carotid artery may produce visual loss. The disorder is well demonstrated by magnetic resonance imaging, and timely intervention can improve vision.

摘要

目的及重要性

颈内动脉迂曲扩张对视神经的压迫是一种罕见但可纠正的视力丧失原因。

临床表现

一名年轻女性出现右眼视力丧失且无明显病因,磁共振成像显示同侧颈内动脉压迫右侧视神经。

干预措施

经翼点开颅并打开视神经管对视神经进行减压,使患眼视力得到改善。

结论

颈内动脉迂曲扩张对视神经的压迫可能导致视力丧失。磁共振成像能很好地显示该病症,及时干预可改善视力。

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