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急性视神经炎的传入性瞳孔障碍

The afferent pupillary defect in acute optic neuritis.

作者信息

Ellis C J

出版信息

J Neurol Neurosurg Psychiatry. 1979 Nov;42(11):1008-17. doi: 10.1136/jnnp.42.11.1008.

Abstract

Twenty-two patients with acute optic neuritis were studied by the techniques of infrared pupillometry and visual evoked responses (VER) to pattern reversal. A relative afferent pupillary defect was found in all cases and the magnitude of this defect was found to be related to the amplitude, but not to the latency, of the VER. During follow-up the afferent defect was found to remain persistently abnormal while other methods of clinical evaluation could not demonstrate abnormality reliably. The amplitude of the VER also remained low.

摘要

采用红外瞳孔测量技术和图形翻转视觉诱发电位(VER)技术对22例急性视神经炎患者进行了研究。所有病例均发现有相对性传入性瞳孔障碍,且该障碍的程度与VER的波幅有关,而与潜伏期无关。在随访期间,发现传入性障碍持续异常,而其他临床评估方法无法可靠地显示异常。VER的波幅也仍然较低。

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本文引用的文献

1
Pupillary escape in disease of the retina or optic nerve.视网膜或视神经疾病中的瞳孔逃避现象。
Arch Ophthalmol. 1959 Nov;62:768-79. doi: 10.1001/archopht.1959.04220050030005.
2
THE PUPIL AS INDICATOR OF RETINAL ACTIVITY.作为视网膜活动指标的瞳孔
Am J Ophthalmol. 1964 Apr;57:569-96. doi: 10.1016/0002-9394(64)92504-8.
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Delayed visual evoked response in optic neuritis.视神经炎中的延迟视觉诱发电位。
Lancet. 1972 May 6;1(7758):982-5. doi: 10.1016/s0140-6736(72)91155-5.
10
Pupillary signs in the diagnosis of optic nerve disease.
Trans Ophthalmol Soc U K (1962). 1976 Sep;96(3):377-81.

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