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Neurology:血管内取栓术后罕见并发症1例

2018-02-14 杨中华 脑血管病及重症文献导读

46岁,女性,因严重左侧半球综合征到急诊室就诊,NIHSS 11分。

46岁,女性,因严重左侧半球综合征到急诊室就诊,NIHSS 11分。

CT显示左侧MCA闭塞,从M1主干道上干(M2)(下图)。给予静脉溶栓,随后成功血管内机械性血栓切除。术后仅遗留轻度失语,NIHSS 1分。但是患者左眼视力下降,视物模糊。

下图,DSA显示左侧MCA血栓(A图),血栓切除术后完全再通(B图)。随访DWI显示左侧MCA分布区小片梗死(C图):



眼底镜检查显示左眼视网膜缺血,未见血管闭塞(下图)。推测可能由于短暂血栓栓塞所致,作者认为这是血栓切除术罕见的并发症。

下图,眼底镜检查。右眼未见明显异常(A图);左眼显示视网膜出血,以及棉絮状渗出(视网膜缺血的征象):



原始出处:
Manuel Bolognese, et al. Teaching NeuroImages: Visual loss as a rare complication of mechanical thrombectomy. Neurology.2018 Jan 23;90(4):e355-e356.doi:10.1212/WNL.0000000000004863.

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    2018-02-27 yinhl1978
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    2018-12-19 丁鹏鹏
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    2018-02-16 虈亣靌

    认真学习天天向上

    0

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    2018-02-16 syscxl
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