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一名15岁女性患者的视神经炎:病例报告及文献综述

Optic Neuritis in a 15-Year-Old Female Patient: A Case Report and Literature Review.

作者信息

Chan Leah, Pereira Nicholas

机构信息

School of Medicine, Saint James School of Medicine, Anguilla, AIA.

Pediatrics, South Texas Health System Children's, Edinburg, USA.

出版信息

Cureus. 2024 Jan 30;16(1):e53222. doi: 10.7759/cureus.53222. eCollection 2024 Jan.

DOI:10.7759/cureus.53222
PMID:38425625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10903293/
Abstract

Optic neuritis represents a rare clinical entity leading to vision loss within the pediatric population. While not an urgent or life-threatening condition, optic neuritis may serve as a manifestation of various systemic diseases. When pediatric patients present with complaints of vision loss, it is imperative to consider optic neuritis as a potential differential diagnosis. This prompts further investigation to exclude systemic diseases capable of causing substantial morbidity. This article details a case report involving optic neuritis in a 15-year-old Hispanic female, outlining the investigation and management approach. Additionally, a review of the literature identifies six recent case reports documenting pediatric optic neuritis within the last year.

摘要

视神经炎是一种罕见的临床病症,可导致儿童视力丧失。虽然它并非急症或危及生命的疾病,但视神经炎可能是各种全身性疾病的一种表现。当儿科患者出现视力丧失的症状时,必须将视神经炎视为一种潜在的鉴别诊断。这促使进行进一步调查,以排除可能导致严重发病的全身性疾病。本文详细介绍了一例15岁西班牙裔女性视神经炎的病例报告,概述了调查和管理方法。此外,文献综述还发现了最近六例去年记录的儿童视神经炎病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e570/10903293/d3c49f8884a8/cureus-0016-00000053222-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e570/10903293/d3c49f8884a8/cureus-0016-00000053222-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e570/10903293/d3c49f8884a8/cureus-0016-00000053222-i01.jpg

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本文引用的文献

1
Dissociation of retinal ganglion cell complex and superficial retinal vessel density on optical coherence tomography in a case of pediatric optic neuritis.小儿视神经炎病例中光学相干断层扫描显示视网膜神经节细胞复合体与视网膜浅层血管密度的分离
Am J Ophthalmol Case Rep. 2023 Oct 6;32:101937. doi: 10.1016/j.ajoc.2023.101937. eCollection 2023 Dec.
2
A Case of Myelin Oligodendrocyte Glycoprotein Antibody-Associated Optic Neuritis Responsive to Intravenous Immunoglobulin (IVIG) Therapy in a Pediatric Patient.一例对静脉注射免疫球蛋白(IVIG)治疗有反应的儿童髓鞘少突胶质细胞糖蛋白抗体相关视神经炎病例。
Cureus. 2023 Aug 9;15(8):e43218. doi: 10.7759/cureus.43218. eCollection 2023 Aug.
3
Pediatric Central Retinal Vein Occlusion Secondary to Concurrent Mechanisms of Optic Neuritis and Antiphospholipid Syndrome.
继发于视神经炎和抗磷脂综合征并发机制的小儿中心性视网膜静脉阻塞
J Vitreoretin Dis. 2023 Feb 27;7(3):245-248. doi: 10.1177/24741264231153614. eCollection 2023 May-Jun.
4
Retrobulbar Optic Neuritis Post Typhoid fever: Atypical Case Report.伤寒后球后视神经炎:不典型病例报告。
Rom J Ophthalmol. 2023 Jan-Mar;67(1):73-76. doi: 10.22336/rjo.2023.13.
5
Paediatric MOG-antibody disease presenting with intracranial hypertension and unilateral vision loss without radiological evidence of optic neuritis.儿科 MOG 抗体病表现为颅内压升高和单侧视力丧失,无视神经炎的放射学证据。
J Neuroimmunol. 2023 May 15;378:578083. doi: 10.1016/j.jneuroim.2023.578083. Epub 2023 Apr 5.
6
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Cureus. 2023 Jan 7;15(1):e33474. doi: 10.7759/cureus.33474. eCollection 2023 Jan.
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Children (Basel). 2021 Sep 27;8(10):855. doi: 10.3390/children8100855.
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