tailieunhanh - báo cáo hóa học: " Intracranial internal carotid aneurysm causing diplopia"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Intracranial internal carotid aneurysm causing diplopia | Kloss et al. International Journal of Emergency Medicine 2011 4 56 http content 4 1 56 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Intracranial internal carotid aneurysm causing diplopia Brian T Kloss1 Rahul Patel2 and Anne Marie Sullivan3 Abstract Internal carotid intracranial aneurysms are a relatively rare form of intracranial aneurysm that presents with diplopia retro-orbital pain and unilateral headaches. The symptoms are progressive and the diagnosis should be considered in a patient presenting with these complaints. Underlying hypertension and advanced age are specific risk factors. Case Report A 73-year-old diabetic male presented with progressively worsening diplopia and difficulty reading for 2 months. He denied having any fever trauma headache numbness or weakness of his extremities or changes in other senses. Vital signs physical and neurological exams were unremarkable except for diplopia on right lateral gaze with distance but not on left lateral gaze. CT CTA and MRI of the brain were obtained in addition to a cerebral angiogram Figures 1 2 3 4 and 5 . Internal carotid aneurysms located in the intracaver-nous region account for 3-5 of all intracranial aneurysms 1 . Systemic hypertension is a primary risk factor for development of aneurysm. Life-threatening risk or permanent neurological complications of most carotid cavernous aneurysms CAA are relatively low 2 . Despite this ophthalmic morbidity is a leading consideration for treatment 3 . Diplopia 65 of cases retro-orbital pain and unilateral headache are the most common symptoms at presentation of CAA followed by CN III and CN VI paresis 4 . The mainstay of symptomatic CAA has moved away from surgical and endovascular balloon techniques in favor of endovascular stenting and coiling approaches 4 . Consent Patient consent was obtained and the case report qualified for IRB exemption given the lack of specific identifiable patient .

TÀI LIỆU LIÊN QUAN
crossorigin="anonymous">
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.