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有和没有经证实的视盘小疣的假性视乳头水肿患者的神经学检查结果

Neurological findings in patients with pseudopapilloedema with and without verified optic disc drusen.

作者信息

Mustonen E, Kallanranta T, Toivakka E

出版信息

Acta Neurol Scand. 1983 Oct;68(4):218-30. doi: 10.1111/j.1600-0404.1983.tb04830.x.

DOI:10.1111/j.1600-0404.1983.tb04830.x
PMID:6197858
Abstract

As part of a clinical examination of 200 patients with pseudopapilloedema with and without verified optic disc drusen, neuroophthalmological examinations were performed in 158, neurological examinations in 117 and electroencephalography in 109 patients. Headache and suspected papilloedema were the most frequent reasons for referral. Headache was one of the complaints in 102 patients. Migraine was diagnosed in 22 and suspected in 3 patients. Epilepsy was present in 9 patients and in addition, 1 patient had had treatment for convulsions in childhood. 2 patients had a pituitary tumour and 1 had a tumour in the hypothalamic region. Various other neurological disorders appeared in small numbers. Abnormalities in electroencephalograms (EEGs) were found in 36 patients. Progressive loss of central visual acuity unexplained by retinal pathology as well as bitemporal and homonymous hemianopic visual field defects and also evidence of papilloedema warrant a neurological examination in patients with optic disc drusen.

摘要

作为对200例有或无经证实的视盘玻璃疣的假性视乳头水肿患者进行临床检查的一部分,对158例患者进行了神经眼科检查,117例进行了神经学检查,109例进行了脑电图检查。头痛和疑似视乳头水肿是最常见的转诊原因。102例患者的主诉之一是头痛。22例被诊断为偏头痛,3例疑似偏头痛。9例患者患有癫痫,此外,1例患者童年时有过惊厥治疗史。2例患者患有垂体肿瘤,1例患者下丘脑区域有肿瘤。其他各种神经系统疾病出现的人数较少。36例患者脑电图(EEG)异常。视网膜病变无法解释的中心视力进行性丧失以及双颞侧和同侧偏盲视野缺损,还有视乳头水肿的证据,这些情况都需要对患有视盘玻璃疣的患者进行神经学检查。

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Neurological findings in patients with pseudopapilloedema with and without verified optic disc drusen.有和没有经证实的视盘小疣的假性视乳头水肿患者的神经学检查结果
Acta Neurol Scand. 1983 Oct;68(4):218-30. doi: 10.1111/j.1600-0404.1983.tb04830.x.
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引用本文的文献

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Optic Nerve Head Drusen: An Update.视神经乳头 drusen:最新进展。 (注:这里“drusen”一般译为“玻璃膜疣”,但直接保留原文未翻译,因为不太明确其在特定语境下是否有特殊含义或需要特别处理。)
Neuroophthalmology. 2018 Apr 25;42(6):367-384. doi: 10.1080/01658107.2018.1444060. eCollection 2018 Dec.
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Optic disk drusen in children.儿童视盘小疣
Surv Ophthalmol. 2016 Nov-Dec;61(6):745-758. doi: 10.1016/j.survophthal.2016.03.007. Epub 2016 Mar 29.