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

作　　者：方晓霞[1] 王云甫[1] 刘光健[1] 

机构地区：[1]湖北医药学院附属太和医院神经内科,湖北十堰442000

出　　处：《湖北医药学院学报》2012年第4期274-276,共3页Journal of Hubei University of Medicine

摘　　要：目的:探讨心脑血管造影术后皮质盲的病因、临床表现及处理方法。方法:报道1例心脑血管造影术后皮质盲的临床表现、治疗过程及治疗结果,并结合文献讨论。结果:脑血管造影术后皮质盲具有发病突然、凶险的临床特点,一般认为是术中造影剂的毒性作用,使血脑屏障一过性破坏,造影剂特异性进入视皮质,导致皮质细胞毒性损害。治疗原则为舒张血管、抗脑水肿、皮质激素、神经营养治疗。结论:心脑血管造影术后的皮质盲是一临床少见并发症,必须尽快确诊及治疗,并采取一定的预防措施防治。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 

分 类 号：R743.3[医药卫生—神经病学与精神病学]