眼科与神经科的交叉学科：通过视觉症状诊断急性中风。

IF 2.1 4区医学 Q2 OPHTHALMOLOGY Indian Journal of Ophthalmology Pub Date : 2025-02-01 Epub Date: 2024-09-19 DOI:10.4103/IJO.IJO_2456_23

Ruhel Kurudamannil Chacko, Devu Krishna, Karthik Kumar, Virna M Shah

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引用次数: 0

摘要

目的：记录急性脑血管意外（CVA）如何首先被眼科医生发现：回顾性、观察性、单中心医院研究。研究人员查阅了 2022 年 8 月在一家三级眼科医院神经眼科就诊的新患者的电子病历。结果显示，在 710 名新患者中，有 1 名患者的症状提示为急性中风，需要进行紧急神经影像学检查：结果：在 710 名新患者中，31 人已知有 CVA 并出现视野缺损（4.3%）。结果：在 710 例新患者中，有 31 例已知有 CVA 并出现视野缺损（4.3%）。我们发现有 9 例新患者随后被确诊为 CVA，最初出现眼部症状，其中 7 例为同侧偏盲，另外 2 例为一过性视力模糊和核内眼球震颤：结论：后循环中风通常首先出现在眼科医生面前，及早识别至关重要。

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The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms.

Purpose: To document how acute cerebrovascular accidents (CVAs) present first to an ophthalmologist.

Methods: Retrospective, observational, unicentric hospital-based study. The electronic medical records of new patients who presented to the Neuro-ophthalmology department of a tertiary eye hospital in the month of August 2022 were reviewed. Those with symptoms suggestive of an acute stroke requiring urgent neuroimaging were chosen for further study.

Results: Out of the 710 new patients, 31 had a known CVA and presented with field defects (4.3%). We recognized nine new patients, subsequently diagnosed to have a CVA, initially presenting with ocular symptoms such as homonymous hemianopia in seven cases and two others as transient obscuration of vision and internuclear ophthalmoplegia.

Conclusion: Posterior circulation strokes commonly present first to an ophthalmologist, the early recognition of which is of utmost importance.

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来源期刊

Indian Journal of Ophthalmology OPHTHALMOLOGY-

CiteScore

3.80

自引率

19.40%

发文量

1963

审稿时长

38 weeks

期刊介绍： Indian Journal of Ophthalmology covers clinical, experimental, basic science research and translational research studies related to medical, ethical and social issues in field of ophthalmology and vision science. Articles with clinical interest and implications will be given preference.