Ocular manifestations of internal carotid artery dissection

• 作者: Jin-Xin Song Song-Di Wu Xue-Mei Lin Yong-Xin Xing Zhao-Qin Hao
• 来源期刊: 国际眼科杂志:英文版
• 学科: 医学
• 关键词: internal CAROTID artery DISSECTION OCULAR MANIFESTATION oculosympathetic PALSY OCULAR motor nerve PALSY visual SYMPTOMS
• 年，卷（期）: 2019,（5）
• 页码范围: 834-839
• 页数: 6页
• 分类号: R771.3

摘要

Internal carotid artery dissection(ICAD) results from disruption of the intima of the arterial wall, and can lead to intrusion of blood into the arterial wall and form an intramural hematoma. The hematoma can compress the true lumen of the vessel, causing functional stenosis or occlusion. The classic triad signs of ICAD include pain in the ipsilateral neck, head and orbital regions;a(partial) Horner syndrome;and cerebral or retinal ischemia. However, not all ICAD patients present with this classic signs. In some cases, ocular manifestations are the initial(and sometimes the only) findings. We summarize the ocular manifestations associated with ICAD in 3 categories: visual symptoms, oculosympathetic palsy, and ocular motor nerve palsy.