Schulz E
Ophthalmologica. 1980;180(5):281-7. doi: 10.1159/000308988.
A case of a 6-year-old boy is referred. Ophthalmological findings suggested subacute sclerosing panencephalitis. Only very distinct neurological alterations could be found. Positive measle titers in serum and cerebrospinal fluid and positive subacute sclerosing panencephalitis factors proved the diagnosis. While the first eye showed a macular scar and mild optic neuritis the second eye developed the acute stage of retinal lesion and immediate visual loss. Differential diagnosis and possible therapeutical aspects are discussed.
一名6岁男孩的病例被转诊。眼科检查结果提示亚急性硬化性全脑炎。仅发现非常明显的神经学改变。血清和脑脊液中麻疹滴度阳性以及亚急性硬化性全脑炎因子阳性证实了诊断。第一只眼出现黄斑瘢痕和轻度视神经炎,而第二只眼发展为视网膜病变急性期并立即出现视力丧失。文中讨论了鉴别诊断和可能的治疗方面。