国际眼科纵览

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颅内动脉瘤的眼部表现

冯荣华 肖以钦 陆肇曾   

  1. 200040上海,复旦大学附属华山医院眼科
  • 收稿日期:2016-10-26 出版日期:2017-02-22 发布日期:2017-02-20
  • 通讯作者: 陆肇曾,Email: luzc@shmu.edu.cn

Ocular manifestations of intracranial aneurysms

FENG Rong-hua, XIAO Yi-qin, LU Zhao-zeng   

  1. Department of Ophthalmology, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2016-10-26 Online:2017-02-22 Published:2017-02-20
  • Contact: LU Zhao-zeng, Email: luzc@shmu.edu.cn

摘要:

颅内动脉瘤是神经系统常见的疾病,大部分动脉瘤破裂前通常无明显临床表现,破裂后常引起严重并发症,并危及患者生命。部分颅内动脉瘤可有眼部表现,如视乳头水肿、视网膜出血、玻璃体出血、视力下降、视野缺损、动眼神经麻痹、外展神经麻痹及三叉神经病变等。颅内动脉瘤的主要影像学诊断方法有电子计算机断层扫描、磁共振血管造影、数字减影血管造影,其中数字减影血管造影是诊断颅内动脉瘤的金标准。颅内动脉瘤主要依靠手术治疗,包括显微手术夹闭、血管内介入治疗,手术方式的选择应该根据病情及医疗条件综合考虑。(国际眼科纵览, 2017,  41:  18-22)

Abstract:

Intracranial aneurysms is a common disease of the nervous system. Most of them usually have no obvious clinical manifestations before rupturing. However, serious complications may happen, even to endanger the lives of patients after intracranial aneurysms rupture. A part of intracranial aneurysms can cause ocular manifestations, such as papilledema, retinal hemorrhage, vitreous hemorrhage, decreased visual acuity, visual field defect, oculomotor nerve palsy, abducens nerve palsy and trigeminal neuropathy, etc. The imaging diagnostic methods of intracranial aneurysms include computed tomography(CT), magnetic resonance angiography(MRA), digital subtraction angiography(DSA). The DSA is the most accurate method for the diagnosis of intracranial aneurysms. Morever, the treatment of intracranial aneurysms mainly rely on surgery,including microsurgical clipping and endovascular interventional therapy. The choice of surgery should be based on disease and medical conditions.  (Int Rev Ophthalmol,  2017,  41:   18-22)