钆增强MRI在一例黑蒙中的重要作用——一例报告和文献综述。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Romanian Journal of Internal Medicine Pub Date : 2024-03-23 Print Date: 2024-03-01 DOI:10.2478/rjim-2023-0026
Maria Mirabela Manea, Dorin Dragoş, Ana-Maria Dobri, Maria Iuliana Ghenu, Iulia-Cosmina Stoican, Iulia-Ioana Enache, Sorin Tuta
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引用次数: 0

摘要

视神经会阴炎是视神经鞘的炎症。这种痛苦会导致视野损伤和其他与眼眶相关的体征和症状,如疼痛、椎间盘水肿、眼肌麻痹、眼球突出。然而,并非所有患者都出现这种提示性症状,需要进行彻底评估。我们报告了一例年轻男性因单眼失明复发而入院的病例。黑蒙是短暂性脑缺血发作(TIA)的常见表现,已被排除在外。钆增强MRI显示了视神经会阴炎的一个典型方面。必须考虑继发性视神经会尿炎的所有可能原因,因为它们都代表着严重的临床状况,即使特发性会尿炎更常见。患者的临床和临床旁评估排除了潜在疾病,并诊断为原发性视神经会尿炎。皮质类固醇治疗通常是有疗效的,我们的患者开始了一个疗程的甲基强的松龙治疗,效果良好。然而,对治疗的反应并不是诊断性的,因为原发性和继发性视神经会尿炎都有正常反应,因此有必要进行彻底的鉴别诊断。
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The crucial role of gadolinium-enhanced MRI in a case of amaurosis fugax - a case report and literature review.

Optic perineuritis is the inflammation of the optic nerve sheath. This affliction can lead to visual field impairment and other signs and symptoms related to the orbital space, such as pain, disc edema, ophthalmoplegia, proptosis. However, not all patients present with such suggestive symptoms, requiring a thorough assessment. We report the case of a young male admitted to our hospital for recurrent episodes of monocular blindness. Amaurosis fugax is a well-known presentation of transient ischemic attacks (TIA) and it was ruled out. Gadolinium-enhanced MRI revealed a typical aspect of optic perineuritis. It was mandatory to consider all possible causes of secondary optic perineuritis as they all represent serious clinical conditions, even if the idiopathic form is more frequent. The clinical and paraclinical evaluation of the patient excluded an underlying disease and primary optic perineuritis was diagnosed. Corticosteroid therapy is usually curative and a course of methylprednisolone was initiated for our patient with good outcome. However, response to treatment is not diagnostic as both primary and secondary optic perineuritis are normally responsive, hence thorough differential diagnosis is necessary.

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来源期刊
Romanian Journal of Internal Medicine
Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
5.30%
发文量
35
审稿时长
15 weeks
期刊介绍: Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection
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