Monocular Blindness as a Rare Presentation of Aortic Dissection Complicated by Carotid Artery Dissection: A Case Report and Literature Review

以單眼視力喪失為表現的主動脈剝離合併頸總動脈剝離：病例報告

陳建志(Chien-Chih Chen) ； 孫灼均(Cheuk-Kwan Sun) ； 蔡易廷(I-Ting Tsai)

《中華民國急救加護醫學會雜誌》 23卷2期 (2012/06) Pp. 61-66

https://doi.org/10.30018/JECCM.201206.0003

摘要

主動脈剝離的臨床表現是很多樣性的。雖然大多數的病人典型表現為胸痛並轉移至背部或心衰竭，但非典型的表現卻容易被忽略。我們報告一個47歲男性因為單眼視力喪失至急診就診。電腦斷層顯示主動脈剝離合併頸總動脈剝離。經開刀修補29天後順利出院。若病人以無痛性單眼視力喪失求診時，頸總動脈剝離也是須考慮的診斷之一。

關鍵字

急性視力喪失 ； 單眼視力喪失 ； 主動脈剝離 ； 頸總動脈剝離

並列摘要

The clinical manifestations of aortic dissection are highly variable. Although the majority of patients manifest typically with chest pain and radiation to the back or congestive cardiac failure, atypical presentations have also been documented that can be easily overlooked. We report a 47-year-old man who developed monocular blindness and visited our emergency department. Computed tomography of the chest at a later time revealed aortic dissection complicated by common carotid artery dissection. After successful surgical treatment, the patient was discharged uneventfully 29 days after admission. A high level of vigilance is required in order to diagnose carotid artery dissection when a patient presents with painless acute monocular visual loss.

並列關鍵字

acute visual loss ； monocular blindness ； aortic dissection ； carotid artery dissection