颅内动脉瘤眼部表现的临床分析

Clinical analysis of ocular changes in intracranial aneurysm

目的 :探讨颅内动脉瘤引起的眼部病变。方法 :回顾近 5年来在我院神经科住院并确诊为颅内动脉瘤的 39例患者的临床资料 ,对其引起的眼部病变进行着重分析。结果 :39例中有眼部改变者 2 2例 (5 6 4 1% )。 2 2例 (2 2只眼 ,5 6 4 1% )均有眼肌麻痹 ;伴有视力下降者 8例 (8只眼 ,2 0 5 1% ) ;眼球及眼眶疼痛者 8例 (8只眼 ,2 0 5 1% ) ;眼底改变者 3例 (4只眼 ,7 6 9% ) ;视野缺损者 2例 (4只眼 ,5 13% ) ;角膜反射减弱者 2例 (2只眼 ,5 13% ) ;流泪者 1例 (1只眼 ,2 5 6 % ) ;眼睑皮肤感觉下降者 1例 (1只眼 ,2 5 6 % )。以上睑下垂、复视为主诉到眼科首诊的患者有 9例 ,(2 3 0 8% )。结论 :颅内动脉瘤可引起眼部多种病变 ,其中最常见的病变为眼肌麻痹。

Objective:To investigate the intraocular changes in intracranial aneurysm, Methods:Deta of 39 patients with intracranial aneurysm of recent 5 years were reviewed retrospectively,and the ocular changes in intracranial aneurysm analyzed.Result:Ocular changes occurred in 22 cases (56.41%).All 22 cases (56.51%) suffered from ophthalmoplegia vasual acuity diminished,in 8 cases (8 eyes,20.51%),8 cases (8 eyes,20.51%) had eyeball and orbital pain.3 cases (4 eyes,7.69%) had fundus changes.2 cases (4 eyes,5.13%) had visual field defects.Corneal reflex diminished in 2 cases (2 eyes,5.13%),and sensation of eyelid skin diminished in 1 case (1 eyes,2.56%).1 case (1 eye,2.56%) had lacrimation.Ptosis or/and diplopia were the chief complaints in 9 cases (23.08%).Conclusion:Many ocular changes may occurr in cranial aneurysm,and the ophthalmoplegia is the most common change.