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感染性视神经病变

Infectious Optic Neuropathies.

作者信息

Eggenberger Eric R

出版信息

Continuum (Minneap Minn). 2019 Oct;25(5):1422-1437. doi: 10.1212/CON.0000000000000777.

Abstract

PURPOSE OF REVIEW

This article reviews common infectious optic neuropathies, focusing on the more common and globally important entities.

RECENT FINDINGS

Novel infections continue to emerge and drift geographically over time; not infrequently, these have important neurologic or ocular features. Malarial retinal findings comprise a relatively specific set of findings and serve as an invaluable aid in the diagnosis of cerebral malaria. Therapy continues to evolve and is best formulated in concert with an infectious disease expert.

SUMMARY

Infectious optic neuropathies are less common than inflammatory or ischemic optic neuropathies; may present with varied, overlapping, and nonspecific clinical appearances; and comprise an important differential consideration demanding specific therapy.

摘要

综述目的

本文回顾常见的感染性视神经病变,重点关注更常见且具有全球重要性的病种。

最新发现

新型感染不断出现并随时间在地理上发生转移;这些感染常常具有重要的神经或眼部特征。疟疾性视网膜病变表现为一组相对特异的症状,对脑型疟疾的诊断具有重要辅助价值。治疗方法不断发展,最好与传染病专家共同制定方案。

总结

感染性视神经病变不如炎性或缺血性视神经病变常见;临床表现可能多样、重叠且缺乏特异性;是需要特殊治疗的重要鉴别诊断考虑因素。

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