The ophthalmology of intracranial vascular abnormalities
| Autor: | Deborah J. Simon, Valérie Biousse, Maria E. Mendicino, Nancy J. Newman |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Carotid Artery Diseases Intracranial Arteriovenous Malformations Male Chemosis medicine.medical_specialty Subarachnoid hemorrhage Eye Diseases Fundus Oculi Aneurysm Ophthalmology medicine Humans Papilledema Rupture Spontaneous Vascular disease business.industry Intracranial Aneurysm Arteriovenous malformation Terson syndrome Middle Aged Subarachnoid Hemorrhage medicine.disease Cavernous malformations Magnetic Resonance Imaging eye diseases Surgery Arteriovenous Fistula Cavernous Sinus Female Visual Fields medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | American Journal of Ophthalmology. 125:527-544 |
| ISSN: | 0002-9394 |
| DOI: | 10.1016/s0002-9394(99)80194-9 |
| Popis: | Purpose To provide a practical review of the ophthalmologic manifestations of intracranial vascular abnormalities. Methods We reviewed ocular manifestations of the most common intracranial vascular abnormalities: intracranial aneurysms, carotid-cavernous fistulas, arteriovenous malformations, and cavernous malformations. Results Unruptured aneurysms can compress the third cranial nerve and the anterior visual pathways. Ruptured aneurysms and subarachnoid hemorrhage can result in Terson syndrome and papilledema. Direct and indirect carotid-cavernous fistulas most commonly cause the classic triad of proptosis, conjunctival chemosis, and cranial bruit but can masquerade as chronic conjunctivitis. Arteriovenous malformations, with or without hemorrhage, may compress portions of the retrochiasmal pathways, causing visual field loss. Cavernous malformations, when in the brainstem, commonly cause abnormalities of supranuclear, nuclear, and fascicular ocular motility. Conclusions The ophthalmologist may be the first physician to encounter clinical manifestations of intracranial vascular abnormalities that may herald devastating neurologic complications. Prompt diagnosis facilitates appropriate management and therapy. |
| Databáze: | OpenAIRE |
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