一名年轻成人因颈内动脉夹层导致视网膜分支动脉阻塞。
Internal carotid artery dissection causing a branch retinal artery occlusion in a young adult.
作者信息
McDonough R L, Forteza A M, Flynn H W
机构信息
Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, FL 33101-6880, USA.
出版信息
Am J Ophthalmol. 1998 May;125(5):706-8. doi: 10.1016/s0002-9394(98)00034-8.
PURPOSE
To report a 34-year-old healthy man with an internal carotid artery dissection who presented with an ipsilateral branch retinal artery occlusion.
METHOD
Case report.
RESULTS
Ophthalmic examination of a young adult presenting with transient monocular visual loss and a superior nasal field defect disclosed a left inferior branch retinal artery occlusion. After fluorescein angiography, the patient had a vasovagal response, and his condition worsened to a left central retinal artery occlusion. Neurologic evaluation followed by carotid angiography disclosed a left internal carotid artery dissection with total occlusion of the internal carotid artery.
CONCLUSION
The differential diagnosis of retinal arterial occlusion in a young healthy adult without any notable ocular or medical history, including trauma, should include spontaneous internal carotid artery dissection.
目的
报告一名34岁健康男性，患有颈内动脉夹层，表现为同侧视网膜分支动脉阻塞。
方法
病例报告。
结果
对一名出现短暂性单眼视力丧失和鼻上象限视野缺损的年轻成年人进行眼科检查，发现左视网膜下分支动脉阻塞。荧光素血管造影后，患者出现血管迷走神经反应，病情恶化为左视网膜中央动脉阻塞。神经学评估后进行颈动脉血管造影，发现左颈内动脉夹层伴颈内动脉完全阻塞。
结论
在没有任何明显眼部或病史（包括外伤）的年轻健康成年人中，视网膜动脉阻塞的鉴别诊断应包括自发性颈内动脉夹层。
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