背景:颅骨自主神经失调是丛集性头痛或偏头痛患者的常见症状。外周血管功能障碍可能增加缺血性或出血性中风的风险,心肌梗塞,视网膜血管病变,心血管死亡率,和外周动脉疾病。此外,它也可能表现为眼部症状,例如,流泪增加,结膜注射,和面部肿胀。
方法:我们在此报告一例患者,患有偏头痛和血管失调的眼部征象,导致结膜血管和角膜弧持续变化。
结论:自主性血管失调不仅会引起头痛,还会引起眼组织的持续变化,例如,结膜血管改变和角膜弧。
BACKGROUND: Cranial autonomic dysregulation is a common symptom of patients suffering from cluster headache or migraine. The peripheral vascular dysfunction may increase the risk for ischemic or hemorrhagic strokes, myocardial infarction, retinal vasculopathy, cardiovascular mortality, and peripheral artery diseases. Furthermore, it may also manifest with ocular symptoms, e.g., increased lacrimation, conjunctival injection, and facial swelling.
METHODS: We here report a
case of a patient with migraine and ocular signs of a vascular dysregulation that have led to persisting changes of conjunctival vessels and to a corneal arcus.
CONCLUSIONS: Autonomic vascular dysregulation may not only cause headaches but also persisting changes of ocular tissues, e.g., conjunctival vessel alterations and a corneal arcus.