颅内动脉瘤眼部表现的临床分析

目的：探讨颅内动脉瘤引起的眼部病变。方法：回顾近5年来在我院神经科住院并确诊为颅内动脉瘤的39例患者的临床资料，对其引起的眼部病变进行着重分析。结果：39例中有眼部改变者22例（56.41％）。22你（22只眼，56.41％）均有眼肌麻痹；伴有视力下降者8例（8只眼，20.51％）；眼球及眼眶疼痛者8例（8只眼，20.51％））；眼底改变者3例（4只眼，7.69％）；视野缺损者2例（4只眼，5.13％）；角膜反射减弱者2例（2只眼，5.13％）；流泪者1例（1只眼，2.56％）；眼睑皮肤感觉下降者1例（1只眼，2.56％）。以上睑下垂、复视为主诉到眼科首诊的患者有9例（23.08％）。结论：颅内动脉瘤可引起眼部多种病变，其中最常见的病变为眼肌麻痹。

Clinical analysis of ocular changes in intracranial aneurysm

Objective:To investigate the intraocular changes in intracranial aneurysm, Methods:Deta of 39 patients with intracranial aneurysm of recent 5 years were reviewed retrospectively,and the ocular changes in intracranial aneurysm analyzed.Result:Ocular changes occurred in 22 cases (56.41%).All 22 cases (56.51%) suffered from ophthalmoplegia vasual acuity diminished,in 8 cases (8 eyes,20.51%),8 cases (8 eyes,20.51%) had eyeball and orbital pain.3 cases (4 eyes,7.69%) had fundus changes.2 cases (4 eyes,5.13%) had visual field defects.Corneal reflex diminished in 2 cases (2 eyes,5.13%),and sensation of eyelid skin diminished in 1 case (1 eyes,2.56%).1 case (1 eye,2.56%) had lacrimation.Ptosis or/and diplopia were the chief complaints in 9 cases (23.08%).Conclusion:Many ocular changes may occurr in cranial aneurysm,and the ophthalmoplegia is the most common change.