Neurology:浣熊眼不要忽视了眼动脉动脉瘤

2019-05-31 佚名 脑血管病及重症文献导读

73岁,女性。既往高血压和糖尿病病史。表现为突发头痛和右侧眶周瘀斑。

73岁,女性。

既往高血压糖尿病病史。

表现为突发头痛和右侧眶周瘀斑(下图):



否认外伤病史。

查体未见阳性体征。

眼科检查显示视力正常,眼球运动正常,无视乳头水肿及视网膜出血。

CTA 显示右侧眼动脉动脉瘤 SAH。下图 B,CT 显示 SAH;图 C 和 D 显示右侧眼动脉分叶状(bilobar)动脉瘤:







随后成功血管内治疗,症状完全恢复。

最终作者认为动脉瘤位于海绵窦,破裂后引起海绵窦和眶(周)静脉静脉压迅速升高,最终引起眶周瘀斑。除了颅骨骨折和海绵窦血栓形成以外,SAH 是突发严重头痛伴眶周瘀斑的另一个重要鉴别诊断

原始出处:Aalbers M, van Dijk JMC. Teaching NeuroImages: Raccoon eye in subarachnoid hemorrhage. Neurology. 2019 Mar 26

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (2)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2053600, encodeId=04f9205360035, content=<a href='/topic/show?id=500065541ee' target=_blank style='color:#2F92EE;'>#浣熊眼#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65541, encryptionId=500065541ee, topicName=浣熊眼)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2c31495, createdName=liuyg0228, createdTime=Sun Oct 20 11:09:00 CST 2019, time=2019-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000782, encodeId=7d622000e82b6, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Nov 05 22:09:00 CST 2019, time=2019-11-05, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2053600, encodeId=04f9205360035, content=<a href='/topic/show?id=500065541ee' target=_blank style='color:#2F92EE;'>#浣熊眼#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65541, encryptionId=500065541ee, topicName=浣熊眼)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2c31495, createdName=liuyg0228, createdTime=Sun Oct 20 11:09:00 CST 2019, time=2019-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000782, encodeId=7d622000e82b6, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Nov 05 22:09:00 CST 2019, time=2019-11-05, status=1, ipAttribution=)]
    2019-11-05 yinhl1978