Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Surv Ophthalmol. 2010 Mar-Apr;55(2):162-8. doi: 10.1016/j.survophthal.2009.03.007. Epub 2009 Sep 24.
A 23-year-old pregnant woman presented with a rapidly progressive unilateral optic neuropathy. The evaluation was complicated by her being pregnant and the issues surrounding the evaluation and management of the pregnant patient with a neuro-ophthalmic finding is discussed. Eventually an orbital apex lesion was found and proved to be an orbital schwannoma. Rapid growth of an orbital schwannoma should be included in the differential diagnosis of progressive visual loss in a pregnant patient.
一位 23 岁孕妇因单侧视神经病变迅速恶化而就诊。由于她正处于孕期,这给评估带来了一定的复杂性。本案例讨论了在神经眼科检查中如何处理孕妇这一特殊群体,并最终发现了眶尖病变,证实为眶内神经鞘瘤。在孕妇视力逐渐丧失的鉴别诊断中,应考虑到眶内神经鞘瘤的快速生长。