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与眼科相关的中枢神经系统血管性疾病
引用本文:干霖洋,钟勇. 与眼科相关的中枢神经系统血管性疾病[J]. 中华眼底病杂志, 2020, 0(4): 315-318
作者姓名:干霖洋  钟勇
作者单位:中国医学科学院
摘    要:中枢神经系统血管病变可合并多种眼部症状,如眼眶疼痛、闪光感、视野缺损、视力下降、眼肌麻痹等.因此,部分患者首诊于眼科,其中包括动脉瘤破裂、动脉夹层、脑卒中等需要迅速处理的神经系统急重症,接诊医师若认识不足则可能延误诊治.与眼科相关的中枢神经系统血管性疾病多数具有眼科不能解释的临床表现,面对局部治疗无效的慢性结膜炎、不明...

关 键 词:中枢神经系统疾病  颅内动脉瘤  颈动脉海绵窦瘘  颅内高压  综述

Central nervous system vascular diseases in ophthalmology clinic
Gan Linyang,Zhong Yong. Central nervous system vascular diseases in ophthalmology clinic[J]. Chinese Journal of Ocular Fundus Diseases, 2020, 0(4): 315-318
Authors:Gan Linyang  Zhong Yong
Affiliation:(Department of Ophthalmology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)
Abstract:Central nervous system vascular disease can be combined with a variety of ocular signs,such as orbital pain,flash,visual field defects,vision loss,eye muscle paralysis.Therefore,some patients were first diagnosed in ophthalmology,including aneurysm rupture,arterial dissection,cerebral apoplexy and other critical nervous system diseases that need rapid treatment.If the doctors didn't know enough,the diagnosis and treatment might be delayed.Most of the vascular diseases of the central nervous system related to ophthalmology have clinical manifestations that cannot be explained by ophthalmology.In the face of chronic conjunctivitis,unexplained visual field defect or cranial nerve paralysis with local ineffective treatment,it is necessary to broaden the thinking of differential diagnosis.To understand the characteristics of vascular diseases of the central nervous system that are prone to ocular manifestations can provide references for the clinical diagnosis and treatment of ophthalmology.
Keywords:Central nervous system diseases  Intracranial aneurysm  Carotid-cavernous sinus fistula  Intracranial hypertension  Review
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