Ellenberger C, Messner K H
Ann Neurol. 1978 May;3(5):438-40. doi: 10.1002/ana.410030514.
Three young adult patients are described to illustrate an uncommon syndrome, papillophlebitis. This entity, characterized by mild but protracted monocular visual impairment, edema of the optic disc, retinal venous engorgement, and perivenous retinal hemorrhages, resembles atherosclerotic occlusion of the central retinal vein in older patients. In younger individuals it is benign and self limited, but may be incorrectly diagnosed as optic neuritis or papilledema. These alternatives can usually be excluded if tests of visual function do not indicate an optic nerve conduction defect and if the clinical presentation and examination of the opposite ocular fundus do not disclose evidence of increased intracranial pressure. Because resolution usually occurs spontaneously, immediate neuroroentgenographic tests may be inappropriate. Effective treatment has not been established; local instillation of corticosteroids may hasten recovery.
描述了三名年轻成年患者，以说明一种罕见的综合征——乳头静脉炎。该病症的特征为轻度但迁延的单眼视力损害、视盘水肿、视网膜静脉充血以及静脉周围视网膜出血，类似于老年患者的视网膜中央静脉粥样硬化性闭塞。在年轻个体中，它是良性且自限性的，但可能被错误地诊断为视神经炎或视乳头水肿。如果视觉功能测试未显示视神经传导缺陷，且对侧眼底的临床表现和检查未发现颅内压升高的证据，通常可以排除这些可能性。由于通常会自发缓解，立即进行神经影像学检查可能并不合适。尚未确定有效的治疗方法；局部滴注皮质类固醇可能会加速恢复。
