自发性静脉搏动在成人奇亚里畸形诊断中的作用

K. Cockerhamn, G. Bejjani, De. Monya
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引用次数: 2

摘要

目的:对有症状的成人Chiari畸形(ACM)患者进行神经眼科评估。方法:观察56例症状和神经影像学符合ACM的患者。进行了全面的病史和完整的神经眼科检查。研究结果:对16名男性和40名女性进行了评估。平均年龄41岁(8 ~ 73岁)。最常见的视觉主诉是持续数秒的短暂性视觉模糊(n= 34)。32例患者出现眼后疼痛或充盈。48名患者有头痛。其他常见症状包括颈部疼痛、头晕、面部疼痛和麻木。28例眼底检查发现单眼或双眼无自发性静脉搏动。成人Chiari畸形(ACM)表现出可能被忽视或误诊的特征性症状。神经眼科评估有助于排除其他实体和识别特征缺席静脉搏动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Spontaneous Venous Pulsations in the Diagnosis of Adult Chiari Malformation
Objective: To perform neuro-ophthalmologic evaluations in patients with symptomatic Adult Chiari Malformations (ACM).Methods: Observational case series of 56 patients with symptoms and neuro-imaging consistent with ACM. Comprehensive histories and complete neuro-ophthalmic examinations were performed. Findings: Sixteen men and forty women were evaluated. The mean age was 41 years old (range 8 - 73 years old). The most common visual complaint was transient visual obscurations lasting seconds (n= 34). Pain or fullness behind the eyes was present in 32 patients. Forty-eight patients had headaches. Other frequent symptoms included neck pain, dizziness, facial pain, and numbness. Fundus examination was remarkable for absent spontaneous venous pulsations in one or both eyes in 28 patients. Interpretation: Adult Chiari Malformation (ACM) presents with characteristic symptoms that may be overlooked or misdiagnosed. Neuro-ophthalmic evaluation is helpful in ruling out other entities and identifying characteristic absent venous pulsations.
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