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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.

DOI:10.1136/pgmj.66.778.664
PMID:2217037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2429688/
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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本文引用的文献

1
Optic neuropathy of exophthalmic goiter (Graves' disease).突眼性甲状腺肿（格雷夫斯病）性视神经病变
AMA Arch Ophthalmol. 1958 Apr;59(4):471-80. doi: 10.1001/archopht.1958.00940050027001.
2
Radical orbital decompression for severe dysthyroid exophthalmos.重度甲状腺相关性眼病的眼眶根治性减压术。
J Neurosurg. 1982 Feb;56(2):260-6. doi: 10.3171/jns.1982.56.2.0260.
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Evoked potentials in clinical medicine (first of two parts).临床医学中的诱发电位（两部分中的第一部分）
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Optic nerve involvement in dysthyroidism.甲状腺功能障碍中的视神经受累。
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Pattern EPS in endocrine orbitopathy.内分泌性眼眶病中的模式性眼外肌增粗
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High-resolution CT of lesions of the optic nerve.视神经病变的高分辨率CT
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Cyclosporin improves Graves' ophthalmopathy.
Lancet. 1983 Aug 27;2(8348):486-9. doi: 10.1016/s0140-6736(83)90514-7.
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Supervoltage radiotherapy for Graves' ophthalmopathy: CCABC technique and results.格雷夫斯眼病的超高电压放射治疗：CCABC技术及结果。
Int J Radiat Oncol Biol Phys. 1985 Dec;11(12):2085-90. doi: 10.1016/0360-3016(85)90088-4.
10
Optic neuropathy of Graves' disease. A report of a perimetric follow-up.格雷夫斯病性视神经病变。视野检查随访报告。
Ophthalmologica. 1986;192(1):22-7. doi: 10.1159/000309607.