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婴儿期视神经发育不全

Optic nerve hypoplasia in infancy.

作者信息

Fielder A R, Levene M I, Trounce J Q, Tanner M S

出版信息

J R Soc Med. 1986 Jan;79(1):25-9. doi: 10.1177/014107688607900109.

DOI:10.1177/014107688607900109
PMID:3511258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1290142/
Abstract

Certain features of optic nerve hypoplasia (ONH), its systemic associations and investigation are exclusive to infancy. These include the facility to use cranial ultrasound, difficulties in assessing ocular features and visual function, and neonatal hypoglycaemia and jaundice. Six infants with ONH are presented; cerebral abnormalities were demonstrated by cranial ultrasound in five. Neonatal cholestatic jaundice and hypoglycaemia occurred in one infant. Two died and represent a group likely to remain undetected unless routine ophthalmic examination of neurologically abnormal neonates is undertaken. In infancy, both ocular and systemic aspects of ONH can be investigated simply and without sedation.

摘要

视神经发育不全(ONH)的某些特征、其全身关联及检查在婴儿期具有独特性。这些包括使用头颅超声的便利性、评估眼部特征和视觉功能的困难,以及新生儿低血糖和黄疸。本文介绍了6例患有ONH的婴儿;5例通过头颅超声显示有脑部异常。1例婴儿出现新生儿胆汁淤积性黄疸和低血糖。2例死亡,这代表了一个群体,除非对神经异常的新生儿进行常规眼科检查,否则他们可能仍未被发现。在婴儿期,可以简单且无需镇静地对视神经发育不全的眼部和全身方面进行检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff2/1290142/dd4b96f93597/jrsocmed00194-0030-c.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff2/1290142/dd4b96f93597/jrsocmed00194-0030-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff2/1290142/93d05eba383a/jrsocmed00194-0028-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff2/1290142/b520d6384756/jrsocmed00194-0029-a.jpg
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1
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引用本文的文献

1
Follow-up study on premature infants with and without retinopathy of prematurity.对患有和未患早产儿视网膜病变的早产儿的随访研究。
Br J Ophthalmol. 1993 Feb;77(2):91-4. doi: 10.1136/bjo.77.2.91.
2
Optic nerve hypoplasia in children.儿童视神经发育不全
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3
Optic nerve hypoplasia, encephalopathy, and neurodevelopmental handicap.视神经发育不全、脑病和神经发育障碍。

本文引用的文献

1
Optic nerve hypoplasia and young maternal age.
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Optic nerve hypoplasia associated with absent septum pellucidum and hypopituitarism.
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Bilateral optic nerve hypoplasia associated with cerebral atrophy.双侧视神经发育不全伴脑萎缩。
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Trans Am Ophthalmol Soc. 1981;79:425-57.
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Clinical spectrum of congenital optic nerve hypoplasia: review of 51 patients.
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Optic nerve hypoplasia in children. Association with anomalies of the endocrine and CNS.儿童视神经发育不全。与内分泌和中枢神经系统异常的关联。
Arch Ophthalmol. 1984 Jan;102(1):62-7. doi: 10.1001/archopht.1984.01040030046032.
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Hypoplastic optic nerves and pituitary dysfunction. A spectrum of anatomical and endocrine abnormalities.视神经发育不全与垂体功能障碍。一系列解剖学和内分泌异常。
Arch Dis Child. 1984 Feb;59(2):111-4. doi: 10.1136/adc.59.2.111.
9
Hypoplastic optic nerves and pituitary dysfunction.视神经发育不全和垂体功能障碍。
Arch Dis Child. 1984 Jul;59(7):691. doi: 10.1136/adc.59.7.691.
10
The clinical usefulness of the visual evoked response.视觉诱发电位的临床应用价值。
J Pediatr Ophthalmol Strabismus. 1984 Nov-Dec;21(6):231-4. doi: 10.3928/0191-3913-19841101-08.