棕色遁蛛（褐皮花蛛）叮咬后双侧视神经病变
Bilateral optic neuropathy following bite from brown recluse spider (Loxosceles reclusa).
作者信息
Mantopoulos Dimosthenis, Hendershot Andrew J, Cebulla Colleen M, Hirsh David K
机构信息
a Department of Ophthalmology and Visual Science , Havener Eye Institute, The Ohio State University , Columbus , OH , USA.
出版信息
Cutan Ocul Toxicol. 2016;35(2):168-72. doi: 10.3109/15569527.2015.1027906. Epub 2015 Apr 14.
Abstract
A 63-year-old female with history of a resected frontal lobe meningioma presented with bilaterally decreased vision after a bite from a brown recluse spider. The exam was significant for a left relative afferent pupillary defect, bilateral optic nerve pallor, decreased foveal sensitivity in the left eye and new bilateral visual field defects, despite stability of her meningioma. The findings remained stable at 1-year follow-up. To our knowledge, this is the first reported case of optic neuropathy secondary to a brown recluse spider bite. Visual field tests performed prior to the bite allowed us to compare and localize changes related to the bite.
摘要
一名63岁女性，有额叶脑膜瘤切除病史，在被棕色遁蛛叮咬后出现双侧视力下降。检查发现有左侧相对性传入性瞳孔障碍、双侧视神经苍白、左眼中央凹敏感度降低以及新出现的双侧视野缺损，尽管其脑膜瘤病情稳定。在1年的随访中，这些症状保持稳定。据我们所知，这是首例报告的由棕色遁蛛叮咬继发的视神经病变。叮咬前进行的视野测试使我们能够比较和定位与叮咬相关的变化。
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