颅内动脉瘤合并视野缺损的诊断分析

目的 探讨颅内动脉瘤合并视野缺损在眼科诊断的分析.方法 回顾近4年确诊为颅内动脉瘤合并视野缺损的12例患者,其中大脑前动脉动脉瘤5例,前交通动脉瘤4例,颈内动脉动脉瘤3例,对此进行分析.结果 12例均以视野缺损为首发症状,误诊为缺血性视神经疾病9例、球后视神经炎2例、正常眼压型青光眼1例,结论对于视野缺损患者应进一步检查,必要时做脑血管数字减影血管造影(DSA),以防误诊误治.

Misdiagnosis analysis of intracranial aneurysm combined with visual field defects

Objective:To investigate the misdiagnosis of intraeranial aneurysm eombined with visual field defects in ophthalmology. Methods Data of 12 patients with visual field defects in intraeranial anenrysm for the recent 4 years were reviewed retrospectively, 5 cases in anterior cerebral artery aneurysm,4 eases in an-terior eommuaieating cerebral artery aneurysm, 3 cases in internal carotid artery aneurysm,which were ana-lyzed. Results Visual field defects were the first symptoms in 12 patients,9 eases were misdiagnosed as Is-chemic optic neuropathy, 2 cases as Retrobulbar neuritis, 1 case as Normal tension glaucoma. Conclusion To prevent from the misdiagnosis, more examination must be performed for the patients with visual field damage,even for DSA when necessary.