利用视觉诱发电位早期诊断格雷夫斯视神经病变
Early diagnosis of Graves' optic neuropathy using visual evoked responses.
作者信息
Batch J A, Lepre F
机构信息
Princess Alexandra Hospital, Brisbane, Australia.
出版信息
Postgrad Med J. 1990 Aug;66(778):664-6. doi: 10.1136/pgmj.66.778.664.
Abstract
A 27 year old woman with Graves' disease developed progressive ophthalmopathy and was noted to have abnormal visual evoked responses (VER). She was treated with high dose prednisone with clinical improvement and return of the visual evoked responses to normal. On withdrawal of steroids symptoms recurred and VER again were abnormal. Orbital irradiation was given with improvement in the ophthalmopathy and VER again normalized. To our knowledge this report represents the first demonstration of improvement in VER with treatment in Graves' optic neuropathy.
摘要
一名患有格雷夫斯病的27岁女性出现了进行性眼病，并且被发现视觉诱发电位（VER）异常。她接受了大剂量泼尼松治疗，临床症状改善，视觉诱发电位恢复正常。停用类固醇后症状复发，视觉诱发电位再次异常。给予眼眶照射后，眼病有所改善，视觉诱发电位再次恢复正常。据我们所知，本报告是首次证明格雷夫斯视神经病变经治疗后视觉诱发电位得到改善。
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