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双侧视神经炎伴视网膜分支动脉阻塞与疫苗接种相关

Bilateral optic neuritis with branch retinal artery occlusion associated with vaccination.

作者信息

van de Geijn E J, Tukkie R, van Philips L A, Punt H

机构信息

Department of Ophthalmology, Central Military Hospital, Utrecht, The Netherlands.

出版信息

Doc Ophthalmol. 1994;86(4):403-8. doi: 10.1007/BF01204599.

DOI:10.1007/BF01204599
PMID:7835178
Abstract

A case of a 40-year old marine with bilateral optic neuritis and a branch retinal artery occlusion after vaccination is presented. Blood investigations showed no abnormalities. Cerebrospinal fluid studies revealed a lymphocytic pleocytosis and IgG antibodies against hepatitis A and rabies. Computerized tomography and magnetic resonance imaging of the brain were negative. A diagnosis of vaccine-induced auto-immune demyelinative optic neuritis was made. The clinical picture improved after systemic corticosteroid treatment.

摘要

本文报告一例40岁海军陆战队队员在接种疫苗后出现双侧视神经炎和视网膜分支动脉阻塞的病例。血液检查未发现异常。脑脊液检查显示淋巴细胞增多以及抗甲型肝炎和狂犬病的IgG抗体。脑部计算机断层扫描和磁共振成像均为阴性。诊断为疫苗诱导的自身免疫性脱髓鞘性视神经炎。全身使用皮质类固醇治疗后临床症状有所改善。

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