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눈동맥 주위의 혈전에 의한 단안실명 환자에서 성공적인 혈관내 혈전제거술

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Author(s)
장성화손성일유준상홍정호
Keimyung Author(s)
Sohn, Sung IlHong, Jeong HoYoo, Joon Sang
Department
Dept. of Neurology (신경과학)
Journal Title
Journal of Neurocritical Care
Issued Date
2018
Volume
11
Issue
1
Keyword
Monocular blindnessOphthalmic arteryThrombectomy
Abstract
Background: Retinal artery occlusion can lead to sudden visual loss without pain. The acute management of retinal artery occlusion remains unresolved.
Case Report: A 65-year-old male was hospitalized to an emergency room for visual loss on the left side within 6 hours of onset. Combined occlusion at retinal artery and ciliary artery was confirmed by an ophthalmologist and we assessed ophthalmic artery occlusion. However, MRA revealed no significant steno-occlusion of internal carotid artery. Transfemoral cerebral angiography was carried out immediately and showed a movable thrombus at the orifice of the ophthalmic artery. We decided on endovascular thrombectomy to prevent permanent visual loss. Finally, his visual acuity was improved after successful thrombectomy.
Conclusions: Although MRA is intact, small thrombus right at the orifice of the ophthalmic artery can cause a sudden monocular visual loss due to occlusion of the retinal artery. In this setting, urgent endovascular thrombectomy can offer visual improvement.
Alternative Title
Successful Endovascular Thrombectomy in a Patient with Monocular Blindness Due to Thrombus of the Ophthalmic Artery Orifice
Keimyung Author(s)(Kor)
손성일
홍정호
유준상
Publisher
School of Medicine (의과대학)
Citation
장성화 et al. (2018). 눈동맥 주위의 혈전에 의한 단안실명 환자에서 성공적인 혈관내 혈전제거술. Journal of Neurocritical Care, 11(1), 58–62. doi: 10.18700/jnc.180040
Type
Article
ISSN
2508-1349
DOI
10.18700/jnc.180040
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41595
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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