Korn Philippe, Schipper Jörg, Jehn Philipp, Gellrich Nils-Claudius
Klinik und Poliklinik für Mund‑, Kiefer - und Gesichtschirurgie, Medizinische Hochschule Hannover (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
HNO. 2022 Oct;70(10):736-742. doi: 10.1007/s00106-022-01209-2. Epub 2022 Aug 18.
Rarely, but often with serious consequences for the patient, the optic nerve is affected during the course of head injuries. Traumatic optic nerve compression is always an emergency situation, which is why time is of the essence for both diagnosis and treatment. Precise knowledge of this accident sequelae but also of the resulting conditions, especially in terms of traumatic optic neuropathy, is indispensable for adequate patient care. The aim of this paper is to provide an overview of this clinical picture, particularly with regard to etiology, diagnosis, and treatment options, and to discuss this in the context of the current literature.
在头部受伤过程中,视神经很少受到影响,但一旦发生,往往会给患者带来严重后果。外伤性视神经受压始终是一种紧急情况,这就是为什么诊断和治疗都分秒必争。对于充分的患者护理而言,精确了解这种事故后遗症以及由此产生的状况,尤其是外伤性视神经病变方面的知识不可或缺。本文旨在概述这种临床症状,特别是在病因、诊断和治疗选择方面,并结合当前文献进行讨论。