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评估小儿患者视乳头水肿的诊断挑战。

The diagnostic challenge of evaluating papilledema in the pediatric patient.

作者信息

McCafferty Brandon, McClelland Collin M, Lee Michael S

机构信息

Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA.

出版信息

Taiwan J Ophthalmol. 2017 Jan-Mar;7(1):15-21. doi: 10.4103/tjo.tjo_17_17.

DOI:10.4103/tjo.tjo_17_17
PMID:29018749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5525598/
Abstract

Pseudopapilledema is a fairly common finding in ophthalmic practice, and in many cases, the diagnosis is straightforward. However, an accurate diagnosis can challenge the most seasoned clinicians, and missing true papilledema can result in life-threatening or vision-threatening consequences. In this review, we describe the clinical findings and a diagnostic algorithm to distinguish pseudopapilledema and papilledema in the pediatric patients. We also describe the clinical evaluation once a diagnosis of papilledema has been established.

摘要

假性视乳头水肿在眼科临床实践中是一种相当常见的表现,在许多情况下,诊断很简单。然而,准确的诊断可能会难倒经验最丰富的临床医生,而漏诊真正的视乳头水肿可能会导致危及生命或视力的后果。在本综述中,我们描述了区分小儿患者假性视乳头水肿和视乳头水肿的临床发现及诊断算法。我们还描述了视乳头水肿诊断确立后的临床评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/df625087583c/TJO-7-15-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/205e480e3db6/TJO-7-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/073a82aada7e/TJO-7-15-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/d0b330a6063e/TJO-7-15-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/df625087583c/TJO-7-15-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/205e480e3db6/TJO-7-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/073a82aada7e/TJO-7-15-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/d0b330a6063e/TJO-7-15-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd2/5525598/df625087583c/TJO-7-15-g004.jpg

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本文引用的文献

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Pediatric pseudotumor cerebri.小儿假性脑瘤
Curr Opin Ophthalmol. 2016 Sep;27(5):416-9. doi: 10.1097/ICU.0000000000000300.
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Noninvasive methods of detecting increased intracranial pressure.检测颅内压升高的无创方法。
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Optic disk drusen in children.儿童视盘小疣
小儿眼科与斜视的创新时代。
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Retinal and Choroidal Folds in Papilledema.视乳头水肿中的视网膜和脉络膜皱褶
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50 Years Ago in The Journal of Pediatrics: Treatment of Hydrocephalus with Acetazolamide: Results in 15 Cases.
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Visual outcomes and headache following interventions for idiopathic intracranial hypertension.特发性颅内高压干预后的视力预后和头痛情况
J Clin Neurosci. 2014 Oct;21(10):1670-8. doi: 10.1016/j.jocn.2014.02.025. Epub 2014 Jun 25.
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Assessment of optic nerve head drusen using enhanced depth imaging and swept source optical coherence tomography.使用增强深度成像和扫频源光学相干断层扫描评估视盘小疣
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