论文部分内容阅读
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 2 2例 (5 6 4 1% )。 2 2例 (2 2只眼 ,5 6 4 1% )均有眼肌麻痹 ;伴有视力下降者 8例 (8只眼 ,2 0 5 1% ) ;眼球及眼眶疼痛者 8例 (8只眼 ,2 0 5 1% ) ;眼底改变者 3例 (4只眼 ,7 6 9% ) ;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 5 6 % ) ;眼睑皮肤感觉下降者 1例 (1只眼 ,2 5 6 % )。以上睑下垂、复视为主诉到眼科首诊的患者有 9例 ,(2 3 0 8% )。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。
Objective: To investigate the intracranial aneurysm-induced ocular lesions. Methods: The clinical data of 39 patients hospitalized in neurology department of our hospital and diagnosed as intracranial aneurysm in recent 5 years were retrospectively analyzed, and the eye lesions caused by them were analyzed. Results: Among the 39 cases, there were 22 cases of ocular changes (5641%). There were 8 cases (8 eyes, 2051%) with ocular degeneration, 8 cases (8 eyes) with eyeball and orbital pain in 22 cases (22 eyes, 5641% (4 eyes, 76.9%); 2 cases (4 eyes, 5 13%) with corneal reflex; 2 eyes (2 eyes) , 51.3%). One case (1 eye, 25.6%) had tears and one case (1 case, 25.6%) had eyelid skin sensation. Over the ptosis, diplopia mainly complained of ophthalmic first diagnosis of patients in 9 cases (23.0%). Conclusion: Intracranial aneurysms can cause many kinds of eye diseases, the most common one is ophthalmoplegia.