《急診每日一題》提示腦動(dòng)脈瘤的完全動(dòng)眼神經(jīng)麻痹2022年1月
Question?問題:
A patient with a complete CN III palsy with pupil involvement has an aneurysm until proven otherwise. If the CTA is normal, the standard is to transfer to a hospital with interventional radiology for angiogram. What are the ocular findings on exam??
累及瞳孔的完全動(dòng)眼神經(jīng)麻痹患者一定要按動(dòng)脈瘤處理。如果CT動(dòng)脈造影正常,標(biāo)準(zhǔn)方案是將患者轉(zhuǎn)到可以做血管造影的介入放射科醫(yī)院。體檢時(shí)眼部體征是什么?
Answer?答案:
?
Ptosis is present; eye position is “down and out”; The pupil is larger than the contralateral pupil, and may be fixed.?
眼瞼下垂;眼球位置為向下和向外;患側(cè)瞳孔比對側(cè)大,并且無對光反應(yīng)。
參考文獻(xiàn):
Clin Pract. 2021;11:919
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