脑梗死伴中心性浆液性脉络膜视网膜病变(附1例报告)  

Cerebral infarction accompanied with central serous chorioretinopathy: a case report

作　　者：黄慧[1] 张成[1] 张为西[1] 

机构地区：[1]中山大学附属第一医院神经内科,广州510080

出　　处：《临床神经病学杂志》2005年第5期385-386,共2页Journal of Clinical Neurology

摘　　要：目的探讨脑梗死伴中心性浆液性脉络膜视网膜病变(CSCP)的临床特点。方法回顾性分析1例脑梗死伴CSCP患者的临床资料。结果本例为中年男性患者,无高血压、糖尿病、高脂血症以及相关血管炎的病史,表现头晕、行走不稳和视物障碍等,头颅MR I显示小脑半球梗死,荧光眼底血管造影提示右眼CSCP,经改善微血管循环、神经营养等治疗好转。结论对无脑卒中危险因素的脑梗死伴视物障碍的患者,要考虑CSCP的可能。Objective To explore the clinical characteristics of cerebral infarction accompanied with central serous chorioretinopathy （CSCP）. Methods The clinical data of a patient with cerebral infarction and CSCP were reviewed retrospectively. Results The patient was a middle-aged male and mainly presented with dizzy, dystaxia on walking and dysopia. However, he had no history of hypertation, diabetes, hyperlipidemia and related vasculitis. Brain MBI scanning showed infarction in cerebellar hemisphere, Fluorescein eyeground angiography demonstrated the leakage focus on the retina of right eye. All of the presentations were obviously remissive with the treatments of improving micro-vascular circulation and nerve nourishment. Conclusion For those cases of cerebral infarction without related risk factors of cerebral stroke but presenting with dysopia, the possibility of CSCP should be considered.

关 键 词：脑梗死 中心性浆液性脉络膜视网膜病 

分 类 号：R774.1[医药卫生—眼科] R743[医药卫生—临床医学]