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梅毒性视神经萎缩的视觉诱发电位。病例报告。

Visual evoked response in syphilitic optic atrophy. A case report.

作者信息

Kerty E, Eide N, Skjeldal O

出版信息

Acta Ophthalmol (Copenh). 1986 Oct;64(5):553-6. doi: 10.1111/j.1755-3768.1986.tb06972.x.

DOI:10.1111/j.1755-3768.1986.tb06972.x
PMID:3492857
Abstract

A case of neurosyphilis is described. The presenting symptoms were reduced visual acuity and impaired colour vision. The examination revealed bilateral optic atrophy and acquired red-green colour defect. A syphilitic aetiology was based on positive serological tests in blood and CSF, pleocytosis and increased total protein in the CSF. The abrupt decline in visual acuity was arrested by treatment with penicillin and systemic steroids, but normalization of vision was not obtained. All VER-records, of P2 latencies and morphologies were surprisingly normal, but the amplitudes were reduced.

摘要

描述了一例神经梅毒病例。主要症状为视力下降和色觉受损。检查发现双侧视神经萎缩以及后天性红绿色觉缺陷。梅毒病因基于血液和脑脊液血清学检测呈阳性、脑脊液中细胞增多和总蛋白增加。视力急剧下降通过青霉素和全身性类固醇治疗得到控制,但视力未恢复正常。所有视觉诱发电位(VER)记录的P2潜伏期和形态均出奇地正常,但波幅降低。

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