中国卒中杂志2024，Vol.19Issue(3)：288-292,5.DOI:10.3969/j.issn.1673-5765.2024.03.006
表现为后部缺血性视神经病变的巨细胞动脉炎1例报道
Giant Cell Arteritis Manifests as Posterior Ischemic Optic Neuropathy:A Case Report
符书昊 1肖以钦 1韩翔 2杨仕林2
作者信息
- 1. 上海 200040 复旦大学附属华山医院眼科
- 2. 复旦大学附属华山医院神经内科
- 折叠
摘要
Abstract
Giant cell arteritis(GCA)is a systemic granulomatous vasculitis that mainly affects the superficial temporal artery and the ophthalmic artery.The typical manifestation is the triad of headache,visual symptom and mandibular movement disorder.It is a neuro-ophthalmic emergency since it can cause profound visual loss.Hormone pulse therapy is the mainstay of treatment.This paper presents a rare GCA patient manifests as posterior ischemic optic neuropathy,and makes a comprehensive analysis of its clinical manifestations,laboratory examination and imaging examination.This case suggests that the diagnosis of GCA should be taken into account for elderly patients with severe vision loss accompanied by headache and no edema or atrophy in the optic nerve.关键词
巨细胞动脉炎/后部缺血性视神经病变/头痛/视觉症状/下颌运动障碍Key words
Giant cell arteritis/Posterior ischemic optic neuropathy/Headache/Visual symptom/Mandibular movement disorder分类
医药卫生引用本文复制引用
符书昊,肖以钦,韩翔,杨仕林..表现为后部缺血性视神经病变的巨细胞动脉炎1例报道[J].中国卒中杂志,2024,19(3):288-292,5.
