伴眼部表现的颈内动脉动脉瘤的临床分析  

Clinical analysis of internal carotid artery aneurysm accompanied with ocular manifestations

作　　者：李晓明[1] 魏世辉[1] 宋鄂[2] 周欢粉[1] 

机构地区：[1]解放军总医院眼科,北京100853 [2]吉林大学第一医院眼科

出　　处：《中华眼科杂志》2010年第12期1075-1078,共4页Chinese Journal of Ophthalmology

基　　金：吴阶平医学基金（320.3700.06002）

摘　　要：目的 分析伴眼部表现的颈内动脉动脉瘤（AICA）的部位、大小及眼部表现临床特点.方法 回顾性分析2001年12月至2009年6月于解放军总医院眼科就诊的42例AICA患者的临床资料,分析伴眼部表现的AICA发生部位、大小及眼部表现临床特点.结果 42例伴眼部表现的AICA患者中,发生于床突旁23例,巨大动脉瘤23例,眼部主要表现分别为患侧眼视力显著下降25例、动眼神经麻痹21例、展神经麻痹7例及不同程度视野改变.结论 AICA眼部表现主要为患侧眼视力显著下降、不同程度视野缺损、动眼神经麻痹、展神经麻痹等.伴眼部表现的AICA以床突旁为主,多为巨大动脉瘤.Objective To study the location and size of aneurysm of internal carotid artery （AICA）with ocular manifestations and the clinical characteristic of ocular changes. Methods Forty patients with ocular changes caused by AICA presented in Department of Ophthalmology of the General Hospital of PLA were collected and analyzed retrospectively. Results In 42 cases of AICA accompanied with ocular manifestations, AICA was located at paraclinoid aneurysms in 23 case and 23 cases were giant aneurysm.Visual acuity was decreased significantly in 25 cases. Oculomotor palsy was present in 21 cases. Abducens paralysis was present in 7 cases. Different degrees of visual field defects were present in 15 cases.Conclusions Ocular changes in AICA include decrease of visual acuity, oculomotor palsy, abducens paralysis and various defects of visual field. Ocular changes mainly occur inparaclinoid aneurysms and giant aneurysms.

关 键 词：颈内动脉 动脉瘤 眼表现 动眼神经疾病 展神经疾病 视力 低 

分 类 号：R686[医药卫生—骨科学]