Acute monocular visual loss: time to call the stroke team?

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-09-13 DOI:10.1136/pn-2023-003998

Jacob Day, Housam Monla-Haidar, Vasant Raman, Stuart Weatherby

引用次数: 0

Abstract

A man in his 90s presented with acute monocular loss of vision; the emergency department triage alerted the stroke team. He underwent urgent parallel assessments by the stroke and ophthalmology teams and was diagnosed with central retinal artery occlusion. The ultimate decision was made to manage him conservatively, rather than with intravenous thrombolysis, and his visual function has remained poor. We discuss the current evidence for using intravenous thrombolysis in people with central retinal artery occlusion and use this case to exemplify the practical issues that must be overcome if ongoing randomised clinical trials of central retinal artery occlusion confirm a definite benefit from using intravenous thrombolysis.

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急性单眼视力丧失：是时候呼叫卒中团队了吗？

一名 90 多岁的男子出现急性单眼视力丧失，急诊科分诊人员向中风小组发出警报。中风小组和眼科小组同时对他进行了紧急评估，诊断为视网膜中央动脉闭塞。最终决定对他进行保守治疗，而不是静脉溶栓，但他的视功能仍然很差。我们讨论了在视网膜中央动脉闭塞患者中使用静脉溶栓治疗的现有证据，并以该病例为例说明，如果正在进行的视网膜中央动脉闭塞随机临床试验证实使用静脉溶栓治疗确实有益，那么就必须克服实际问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.