CAJ | 학술논문

目的探讨颅内动脉瘤合并视野缺损在眼科诊断的分析.方法回顾近4年确诊为颅内动脉瘤合并视野缺损的12例患者,其中大脑前动脉动脉瘤5例,前交通动脉瘤4例,颈内动脉动脉瘤3例,对此进行分析.结果 12例均以视野缺损为首发症状,误诊为缺血性视神经疾病9例、球后视神经炎2例、正常眼压型青光眼1例,结论对于视野缺损患者应进一步检查,必要时做脑血管数字减影血管造影(DSA),以防误诊误治.
목적 탐토로내동맥류합병시야결손재안과진단적분석.방법 회고근4년학진위로내동맥류합병시야결손적12례환자,기중대뇌전동맥동맥류5례,전교통동맥류4례,경내동맥동맥류3례,대차진행분석.결과 12례균이시야결손위수발증상,오진위결혈성시신경질병9례、구후시신경염2례、정상안압형청광안1례,결론대우시야결손환자응진일보검사,필요시주뇌혈관수자감영혈관조영(DSA),이방오진오치.
Objective:To investigate the misdiagnosis of intraeranial aneurysm eombined with visual field defects in ophthalmology. Methods Data of 12 patients with visual field defects in intraeranial anenrysm for the recent 4 years were reviewed retrospectively, 5 cases in anterior cerebral artery aneurysm,4 eases in an-terior eommuaieating cerebral artery aneurysm, 3 cases in internal carotid artery aneurysm,which were ana-lyzed. Results Visual field defects were the first symptoms in 12 patients,9 eases were misdiagnosed as Is-chemic optic neuropathy, 2 cases as Retrobulbar neuritis, 1 case as Normal tension glaucoma. Conclusion To prevent from the misdiagnosis, more examination must be performed for the patients with visual field damage,even for DSA when necessary.