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后部可逆性脑病综合征的眼部表现

Ophthalmic Manifestations of Posterior Reversible Encephalopathy Syndrome.

作者信息

Lifson Nicole, Pasquale Andrew, Salloum George, Alpert Samuel

机构信息

Department of Ophthalmology, State University of New York Upstate Medical Center, Syracuse, New York, USA.

Department of Ophthalmology, State University of New York at Buffalo, Buffalo, New York, USA.

出版信息

Neuroophthalmology. 2018 Aug 17;43(3):180-184. doi: 10.1080/01658107.2018.1506938. eCollection 2019 Jun.

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a condition of neurotoxicity that presents with a sudden onset of symptoms including headache, altered mental status, seizures, and visual disturbances. Monitoring visual symptoms in PRES is critical as visual deficits are found in nearly 40% of patients.  This paper aims to identify the visual symptoms associated with PRES and determine visual outcomes following treatment.  While the symptoms of PRES are alarming, the disease is typically reversible once the cause is eliminated.  Our findings suggest that those who present with ocular complaints can be reassured that their symptoms will improve, if not completely resolve.

摘要

后部可逆性脑病综合征(PRES)是一种神经毒性疾病,其症状突然发作,包括头痛、精神状态改变、癫痫发作和视觉障碍。在PRES中监测视觉症状至关重要,因为近40%的患者存在视觉缺陷。本文旨在识别与PRES相关的视觉症状,并确定治疗后的视觉结果。虽然PRES的症状令人担忧,但一旦病因消除,该疾病通常是可逆的。我们的研究结果表明,那些有眼部不适症状的患者可以放心,如果症状不能完全消除,也会有所改善。

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