脊柱手术后一过性双侧术后视力丧失。
Transient bilateral post-operative visual loss in spinal surgery.
机构信息
Centre for Spine Studies and Surgery, Queens Medical Centre, West Block, D Floor, Derby Road, Nottingham, NG7 2UH, UK.
出版信息
Eur Spine J. 2012 Jun;21 Suppl 4(Suppl 4):S495-8. doi: 10.1007/s00586-011-2117-7. Epub 2011 Dec 15.
Abstract
BACKGROUND
Post-operative visual loss (POVL) following spinal surgery is a rare but devastating complication. Although a number of intra-operative and post-operative factors have been implicated, the exact etiology may still remain unclear.
PURPOSE
To report a unique case of transient bilateral POVL in a patient who had undergone lumbar surgery in the prone position.
STUDY DESIGN/SETTING: This patient was followed up prospectively for 1 year.
METHODS
Prospective follow-up of a single patient following spinal surgery, who developed transient bilateral POVL.
RESULTS
This patient's visual loss improved within 48 h.
CONCLUSION
This is the only documented case of POVL to have resolved completely within 48 h.
摘要
背景
脊柱手术后发生的术后视力丧失（POVL）是一种罕见但严重的并发症。尽管已经涉及到许多术中及术后因素，但确切的病因仍可能不明确。
目的
报告一例在俯卧位行腰椎手术后出现短暂性双侧 POVL 的患者。
研究设计/设置：对一名接受脊柱手术后出现短暂性双侧 POVL 的患者进行前瞻性随访 1 年。
方法
对一名接受脊柱手术后出现短暂性双侧 POVL 的患者进行前瞻性随访。
结果
该患者的视力丧失在 48 小时内得到改善。
结论
这是唯一一例在 48 小时内完全恢复的 POVL 病例。
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