神经眼科难题：慢性视神经炎？

Neuro-ophthalmologic dilemma: chronic optic neuritis?

作者信息

Burde R M, Gittinger J, Keltner J L, Miller N R

出版信息

Surv Ophthalmol. 1978 Nov-Dec;23(3):173-6. doi: 10.1016/0039-6257(78)90153-4.

Abstract

A patient with an 8-month history of chronic progressive visual loss was referred to the Neuro-ophthalmology Consult Office of Washington University with a diagnosis of chronic optic neuritis. Previous diagnostic studies, including CAT scan, had been negative. Because chronic progressive visual loss is considered a hallmark of mass lesion, more vigorous investigation, including repeat CAT scans, was undertaken, leading to the diagnosis and removal of a 2 cm meningioma.

摘要

一名有8个月慢性进行性视力丧失病史的患者被转诊至华盛顿大学神经眼科会诊办公室，诊断为慢性视神经炎。先前包括计算机断层扫描（CAT扫描）在内的诊断性检查均为阴性。由于慢性进行性视力丧失被认为是占位性病变的一个标志，因此进行了更积极的检查，包括重复CAT扫描，最终诊断并切除了一个2厘米的脑膜瘤。