Sek-Steinborn B, Galas-Zgorzalewicz B, Wender M
Kliniki Neurologii Rozwojowej AM w Poznaniu.
Klin Oczna. 1992 Jan;94(1):25-6.
This paper presents our observations of changes in the visual system in the early period of SSPE in the group of 23 children at the age of 3 to 17 years (18 boys and 5 girls). The most frequent changes were papillary stasis (9 patients). Decreased visual acuity with no changes in the optic fundus or with chorioretinitis and simple atrophy of the optic nerve were observed in 8 children. Convergent squint, visual hallucinations and visual agnosia were additional symptoms in single cases. Changes in the visual system which appeared in early period of the disease as single clinical symptom usually create serious diagnostic problems. The greatest problem appeared when papillary stasis coexisted with other symptoms of increased intracranial pressure. Neuroradiological examinations were decisive in these cases. Diagnosis of SSPE was confirmed by further course of the disease and others additional and typical results.
本文介绍了我们对23名3至17岁儿童（18名男孩和5名女孩）亚急性硬化性全脑炎（SSPE）早期视觉系统变化的观察结果。最常见的变化是视乳头郁滞（9例患者）。8名儿童出现视力下降，而眼底或伴有脉络膜视网膜炎及单纯视神经萎缩无变化。个别病例还出现了内斜视、视幻觉和视觉失认等症状。疾病早期出现的视觉系统变化作为单一临床症状通常会造成严重的诊断问题。当视乳头郁滞与其他颅内压升高症状并存时，问题最为严重。在这些病例中，神经放射学检查起了决定性作用。SSPE的诊断通过疾病的进一步发展过程以及其他额外的典型结果得以证实。
