神经梅毒中的视神经受累：通过图形翻转视觉诱发电位（VEP）进行诊断评估（作者译）

[Optic nerve involvement in neuro-syphilis: diagnostic evaluation by pattern-reversal visual evoked potentials (VEP) (author's transl)].

作者信息

Lowitzsch K, Westhoff M

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1980 Jun;11(2):77-80.

Abstract

Pattern-reversal visual evoked potentials (VEP) were recorded in 41 patients suffering from syphilis in different stages. --In a latent syphilis 3 from 50 eyes (6%) had abnormal VEPs although ophthalmological findings were normal. --In neuro-syphilis, however, 16 from 32 eyes (50%) showed delayed responses. Ophthalmological findings were much less abnormal: visual acuity in 12%, visual field in 19%, and either or both of them in 25%. Pupillary disturbances were observed in 62%.

摘要

对41例处于不同阶段的梅毒患者进行了图形翻转视觉诱发电位（VEP）记录。——在潜伏梅毒中，50只眼中有3只（6%）VEP异常，尽管眼科检查结果正常。——然而，在神经梅毒中，32只眼中有16只（50%）出现反应延迟。眼科检查结果异常的比例要低得多：视力异常的占12%，视野异常的占19%，视力和视野一项或两项异常的占25%。62%的患者观察到瞳孔异常。