Szabó M
Univ.-Augenklinik Szeged.
Klin Monbl Augenheilkd. 1987 Nov;191(5):389-91.
The author reports on a number of cases of bilateral papilledema of unknown etiology. The condition was presumably caused by a formen virus infection. The symptoms were indicative of increased intracranial pressure; the possibility of a brain tumor therefore had to be ruled out. The results of the neurological examinations were negative and a benign intracranial hypertension was diagnosed. In 20 out of 22 cases neither lasting disturbances of visual nor visual field defects developed as a result of conservative treatment. In two cases--children in whom therapy was only instituted at a late stage--a partial atrophy of the optic nerve developed in spite of the treatment.
作者报告了一些病因不明的双侧视乳头水肿病例。这种情况可能是由某种形式的病毒感染引起的。症状表明颅内压升高;因此必须排除脑肿瘤的可能性。神经学检查结果为阴性,诊断为良性颅内高压。在22例病例中的20例,经保守治疗后既未出现持久的视力障碍,也未出现视野缺损。在两例病例中——均为治疗开始较晚的儿童——尽管进行了治疗,但仍出现了部分视神经萎缩。