Troost B T, Sufit R L, Grand M G
Arch Neurol. 1979 Jul;36(7):440-2. doi: 10.1001/archneur.1979.00500430070012.
We describe a patient with papilledema due to benign intracranial hypertension who had sudden, painless monocular visual loss. Fear of further visual deterioration prompted vigorous therapeutic efforts to reduce intracranial pressure. Subsequent neuro-ophthalmologic evaluation disclosed that the visual loss was due to a subretinal neovascular membrane. Vision continued to improve after medical therapy was discontinued, and was accompanied by complete resolution of papilledema and headache. In any patient with minimal papilledema, sudden visual deterioration should initiate a search for other causes rather than zealous therapeutic efforts to reduce intracranial pressure.
我们描述了一名因良性颅内高压导致视乳头水肿的患者，该患者突然出现无痛性单眼视力丧失。由于担心视力进一步恶化，促使采取积极的治疗措施来降低颅内压。随后的神经眼科评估显示，视力丧失是由视网膜下新生血管膜引起的。在停止药物治疗后，视力持续改善，并伴有视乳头水肿和头痛的完全缓解。对于任何仅有轻微视乳头水肿的患者，突然的视力恶化应促使寻找其他原因，而不是急于采取降低颅内压的积极治疗措施。
