Saraux H, Nordmann J P, Denis P
Service d'Ophtalmologie, Hôpital Saint-Antoine, Paris.
J Fr Ophtalmol. 1991;14(4):235-44.
The authors report seven cases of optic neuritis in patients with a diagnosis of multiple sclerosis. All patients had severe bilateral eye disease with no or incomplete recovery. Clinical signs and symptoms of multiples sclerosis were observed in only some patients. IRM was remarkably sensitive for detecting cerebral lesions and confirming the diagnosis. In every case visual field abnormalities consisted of a diffuse defect of sensitivity with pericentral scotoma. The authors emphasize on two atypical forms, total acute neuropathy and chronic primary neuropathy.
作者报告了7例诊断为多发性硬化症患者的视神经炎病例。所有患者均患有严重的双侧眼部疾病，恢复不佳或未恢复。仅部分患者出现了多发性硬化症的临床体征和症状。磁共振成像（IRM）在检测脑部病变和确诊方面非常敏感。在每例病例中，视野异常均表现为伴有中心周围暗点的弥漫性敏感度缺陷。作者强调了两种非典型形式，即完全性急性神经病和慢性原发性神经病。
