Department of Neurology and Neurological Sciences, Stanford University, 300 Pasteur Drive, Palo Alto, CA 94305, USA.
Department of Neurology and Neurological Sciences, Stanford University, 300 Pasteur Drive, Palo Alto, CA 94305, USA; Department of Ophthalmology, Stanford University, 2370 Watson Court, Palo Alto, CA 94303, USA.
Neurol Clin. 2021 May;39(2):631-647. doi: 10.1016/j.ncl.2021.01.004. Epub 2021 Mar 31.
Neuro-ophthalmic emergencies include optic nerve, central visual pathway, and ocular motility disorders that, if not identified and treated promptly, may lead to permanent vision loss, other significant morbidity, or mortality. This article provides a framework for approaching patients with neuro-ophthalmic symptoms and reviews the presentation, evaluation, and treatment of select emergent conditions that can cause them. Emergent causes of blurry vision, transient vision loss, papilledema, and diplopia, including giant cell arteritis, cardioembolic disease, and aggressive infection, are discussed.
神经眼科急症包括视神经、中央视觉通路和眼球运动障碍，如果不能及时识别和治疗，可能导致永久性视力丧失、其他严重的发病率或死亡率。本文为有神经眼科症状的患者提供了一种处理方法，并回顾了可能导致这些症状的特定紧急情况的表现、评估和治疗。讨论了引起视力模糊、短暂性视力丧失、视盘水肿和复视的紧急原因，包括巨细胞动脉炎、心源性栓塞性疾病和侵袭性感染。
