van Effenterre R, Poisson M, van Effenterre G, Schaison M, Sichez J P, Haut J
Arch Ophtalmol (Paris). 1977;37(11):709-14.
The authors report on a polyradiculoneuropathy related to long-term treatment with Perhexiline maleate (a drug used in France since 1973 for coronary insufficiency) whose presenting sign is a bilateral aedematous optic neuropathy. The mechanism of this effect on the optic nerves and on papilloedema is discussed; it seems not to be caused by a direct toxic action on the optic fibres but by the existence of chronic intracranial hypertension.
作者报告了一例与长期使用马来酸哌克昔林(1973年起在法国用于治疗冠状动脉供血不足的药物)相关的多神经根神经病,其表现体征为双侧水肿性视神经病变。文中讨论了这种对视神经和视乳头水肿的作用机制;其似乎并非由对视神经纤维的直接毒性作用引起,而是由慢性颅内高压导致。