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患者,男,23岁,因突发头痛、呕吐、视物模糊,检查发现双视神经乳头水肿,疑颅内占位性病变,转某医院住院检查。除腰穿对脑压偏高外,脑血管造影、CT 扫描等均无异常改变,而排除颅内占位性病变。经治疗颅高压症状消失,但双眼视力下降为0.6,双眼视神经乳头模糊,静脉曲屈,沿静脉周围有大量“火焰状”出血,眼科会诊为双眼视网膜静脉栓塞。经扩血管和抗感染治疗3个月后,视力进步到1.2,但眼底无明显改变。
Patients, male, 23 years old, due to sudden headache, vomiting, blurred vision, examination revealed bivellar papilledema, suspected intracranial space-occupying lesions, transferred to a hospital inpatient examination. In addition to lumbar puncture on the high intracranial pressure, cerebral angiography, CT scan showed no abnormal changes, while excluding intracranial space-occupying lesions. After the treatment of symptoms of intracranial hypertension disappeared, but binocular vision decreased to 0.6, binocular optic nerve head blurred, varicose veins, along the vein around a large number of “flaming” bleeding, ophthalmology consultation binocular venous thrombosis. After vasodilator and anti-infection treatment for 3 months, vision improved to 1.2, but no significant change in fundus.