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脑血管造影联合冠脉造影术后致皮质盲

方晓霞 王云甫 刘光健

湖北医药学院学报2012,Vol.31Issue(4):274-276,3.
湖北医药学院学报2012,Vol.31Issue(4):274-276,3.

脑血管造影联合冠脉造影术后致皮质盲

Cerebral Angiography combined Coronary Angiography Induced Cortical Blindness

方晓霞 1王云甫 1刘光健1

作者信息

  • 1. 湖北医药学院附属太和医院神经内科,湖北十堰442000
  • 折叠

摘要

Abstract

Objective To investigate the etiology,clinical manifestations and treatments of cortical blindness after cerebral angiography combined coronary angiography. Methods The clinical manifestation, treatment and prognosis of one patient with cortical blindness induced by cerebral angiography were reported,the related literatures were retrospectively analyzed. Results The clinical characteristics of cortical blindness were abrupt onset and hazardous, and its possible etiology in most studies was that the toxicity of contrast media which may destruct the blood-brain barrier transiently, then specifically entered into visual cortex and induced cortex cells injury. The principles of treatment were dilating blood vessels, alleviating cerebral edema,glucocorticoids,nerve nutrition. Conclusion Cortical blindness is a rare clinical complication of cerebral angiography, which should be diagnosed and treated as soon as possible,and take some preventive measures.

关键词

皮质盲/血管造影

Key words

Cortical blindness/ Angiography

分类

医药卫生

引用本文复制引用

方晓霞,王云甫,刘光健..脑血管造影联合冠脉造影术后致皮质盲[J].湖北医药学院学报,2012,31(4):274-276,3.

湖北医药学院学报

2096-708X

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