双侧膝状体出血性梗死——胰腺炎的罕见并发症

S. Meena, M. Mittal, R. Yadav, Anju Ranga, M. Sinha
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引用次数: 0

摘要

我们报告一例10岁男性儿童,诊断为急性胰腺炎并肝肾功能紊乱,在初次诊断后2天出现突然发作的双侧无痛性视力丧失。神经眼科检查包括深腱反射、足底反射、视力、瞳孔反射和眼底。脑磁共振成像显示双侧膝状体(LGBs)和视束后端出血性梗死的特征。双侧LGBs病变的两个主要原因包括血管缺血和渗透性脱髓鞘。本病例中双侧LGBs受累的可能机制是急性胰腺炎的凝血功能障碍,归因于血栓形成前状态导致微血管闭塞。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hemorrhagic infarction of bilateral lateral geniculate bodies – unusual complication of pancreatitis
We report a case of 10-year-male child diagnosed as acute pancreatitis with deranged liver and renal functions, who presented with sudden onset bilateral painless vision loss 2 days after initial diagnosis. Neuroophthalmological examination including deep tendon reflex, plantar reflex, visual acuity, pupillary reflexes, and fundus was performed. Magnetic resonance imaging brain demonstrated features of hemorrhagic infarction involving bilateral lateral geniculate bodies (LGBs) and posterior end of optic tracts. Two major causes of bilateral LGBs lesions include vascular ischemia and osmotic demyelination. Possible mechanism of involvement of bilateral LGBs in present case is coagulopathy in the settings of acute pancreatitis attributed to pro-thrombotic state leading to microvascular occlusions.
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