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神经眼科学中的副肿瘤综合征。

Paraneoplastic syndrome in neuroophthalmology.

机构信息

Department of Ophthalmology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang, 110001, China.

出版信息

J Neurol. 2022 Oct;269(10):5272-5282. doi: 10.1007/s00415-022-11247-z. Epub 2022 Jul 2.

Abstract

Paraneoplastic syndrome is a group of clinical symptoms that occur in the state of systemic malignant tumors. Paraneoplastic syndrome of the nervous system can affect any part of the central and peripheral nervous system and may also affect the eyes. In neuroophthalmology, paraneoplastic syndrome has a variety of manifestations that can affect both the afferent and efferent visual systems. The afferent system may involve the optic nerve, retina and uvea; the efferent system may involve eye movement, neuromuscular joints or involuntary eye movements and pupil abnormalities and may also have other neurological symptoms outside the visual system. This article discusses the clinical manifestations, pathological mechanisms, detection methods and treatment methods of paraneoplastic syndrome in neuroophthalmology. The performance of paraneoplastic syndrome is diverse, the diagnosis is difficult, and the treatment should be considered systematically. Differential diagnosis, optimal evaluation and management of these manifestations is not only the key to treatment but also a challenge.

摘要

副肿瘤综合征是全身性恶性肿瘤状态下出现的一组临床症状。神经系统副肿瘤综合征可影响中枢和周围神经系统的任何部位,也可能影响眼睛。在神经眼科学中,副肿瘤综合征有多种表现形式,可影响传入和传出视觉系统。传入系统可能涉及视神经、视网膜和葡萄膜;传出系统可能涉及眼球运动、神经肌肉关节或不自主眼球运动和瞳孔异常,也可能在视觉系统之外出现其他神经系统症状。本文讨论了神经眼科学中副肿瘤综合征的临床表现、病理机制、检测方法和治疗方法。副肿瘤综合征的表现多种多样,诊断困难,治疗应系统考虑。这些表现的鉴别诊断、最佳评估和管理不仅是治疗的关键,也是一个挑战。

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