[1]袁振华 关景霞 卢祖能. 合并左眼视力丧失、后循环梗死的巨细胞动脉炎1例及文献复习[J].卒中与神经疾病杂志,2016,23(05):361-363.[doi:10.3969/j.issn.1007-0478.2016.05.016]
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 合并左眼视力丧失、后循环梗死的巨细胞动脉炎1例及文献复习(/HTML)
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第23卷
期数:
2016年05期
页码:
361-363
栏目:
论著
出版日期:
2016-10-26

文章信息/Info

作者:
 袁振华 关景霞 卢祖能
 430060 武汉大学人民医院神经内科[袁振华 关景霞 卢祖能(通信作者)]
关键词:
 巨细胞动脉炎 视力丧失 后循环梗死
分类号:
R741
DOI:
10.3969/j.issn.1007-0478.2016.05.016
文献标志码:
A
摘要:
 目的 探讨合并多种并发症的巨细胞动脉炎(Giant cell arteritis, GCA)患者临床特点。方法 根据美国风湿病学学会(ACR)分类标准诊断一例合并左眼视力丧失及后循环梗死的巨细胞动脉炎患者,并复习相关国外文献进行分析。结果 86岁女性患者,双侧颞动脉增粗变硬,ESR 108mm/h,颅脑MRI检查可见双侧小脑半球、脑干及右侧枕叶多发急性梗死灶,右侧椎动脉超声检查可见血管壁内膜均匀一致增厚,管腔向心性狭窄。最终诊断:(1)巨细胞动脉炎;(2)脑梗死;(3)左眼失明。结论 GCA最常累及颞动脉,其次是椎动脉、眼动脉及后睫状动脉,可引起视力丧失及后循环梗死等严重并发症。超声检查是明确诊断及评估治疗效果的有效手段。

参考文献/References:

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备注/Memo

备注/Memo:
 (2015-11-01收稿 2015-11-25修回)
更新日期/Last Update: 2016-10-30