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[颅缝早闭与斜视]

[Craniosynostosis and strabismus].

作者信息

Wang A K, Kang X L

机构信息

Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2016 Aug;52(8):626-30. doi: 10.3760/cma.j.issn.0412-4081.2016.08.018.

Abstract

Craniosynostosis(CS), the premature fusion of cranial sutures leading to an abnormal shape and precocious maturity of skull, is classified into Non-syndromic Craniosynostosis (NSC) and Syndromic Craniosynostoses(SC).NCS only has different abnormality of skull according to which cranial suture is involved while extra malformation of midface and limbs present in SCS. Common SCS contains Crouzon Syndrome, Apert Syndrome, Pfeiffer Sydrome, and etc. The clinical manifestation of CS includes malformation of skull, intracranial hypertension, brain hernia, developmental disorder of cerebral function, strabismus, and etc, while SCS has more complex manifestation. Along with the improvement of multidisciplinary cooperation, the ophthalmic complication of CS, like strabismus, is recognised by oculists gradually. This review is summarizing the clinical manifestation, complicated strabismus, pathogenesis and multidisciplinary cure of CS. (Chin J Ophthalmol, 2016, 52: 626-630).

摘要

颅缝早闭(CS)是指颅骨缝过早融合,导致颅骨形状异常和过早成熟,分为非综合征性颅缝早闭(NSC)和综合征性颅缝早闭(SC)。NSC仅根据受累的颅骨缝不同而有不同的颅骨异常,而SC则伴有面中部和四肢的额外畸形。常见的SC包括克鲁宗综合征、阿佩尔综合征、菲佛综合征等。CS的临床表现包括颅骨畸形、颅内高压、脑疝、脑功能发育障碍、斜视等,而SC的表现更为复杂。随着多学科合作的改善,CS的眼科并发症如斜视逐渐被眼科医生所认识。本文综述了CS的临床表现、合并的斜视、发病机制及多学科治疗。(《中华眼科杂志》,2016年,52:626 - 630)

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