Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia; Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia.
Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia.
Biomedica. 2021 Mar 19;41(1):17-28. doi: 10.7705/biomedica.5657.
Neurological visual impairments in children have multiple causes, some of them reversible while others are not. Hydrocephalus is one of the most important and common ones as it can result in permanent impairment. There are multiple causes of hydrocephalus, intraventricular hemorrhage being the main one. This generally occurs when the germinal matrix bleeds and is very common in preterm newborns. We present the clinical case of a patient with cerebral palsy, intraventricular hemorrhage, and hydrocephalus as a result of a preterm multiple pregnancy who developed optic atrophy during childhood secondary to ventricle-peritoneal shunt dysfunction. During the rehabilitation and treatment period, she received neurorehabilitation sessions, which improved her visual acuity and capacity. We found similarities and differences with other cases and we confirmed the importance of the treatment chosen for the recovery of visual capacity.
儿童神经视觉障碍有多种原因，其中一些是可逆的，而另一些则不可逆转。脑积水是最重要和最常见的原因之一，因为它会导致永久性损害。脑积水有多种原因，其中脑室出血是主要原因。这种情况通常发生在室管膜下出血时，早产儿中非常常见。我们介绍了一个患有脑瘫、脑室出血和脑积水的患者病例，这是由于多胎早产引起的，在儿童期由于脑室-腹腔分流器功能障碍而继发视神经萎缩。在康复和治疗期间，她接受了神经康复治疗，这提高了她的视力和能力。我们发现与其他病例的相似之处和不同之处，并证实了为恢复视力而选择的治疗方法的重要性。
