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[良性颅内高压中的视觉功能障碍]

[Visual functional disorders in benign intracranial hypertension].

作者信息

Deev A S, Karpikov A V, Burshinov A O, Vasil'eva L A, Semenchenko T K

出版信息

Vestn Oftalmol. 1994 Apr-Jun;110(2):8-10.

PMID:8073584
Abstract

Seventy-two patients (69 women and 3 men) with benign intracranial hypertension were examined. Besides general clinical signs, such as headache in 71, giddiness in 29, vomiting in 19, poor health in general in 18, painful movements of the eyeballs in 11, unsteady walking in 10, ringing in the ears in 9, noise in the head in 3, all the patients developed changes in the organ of vision. Congestive optic disks were detected in all the cases. Obnubilations were detected in 34 (47.2%) patients, diplopia in 5 (6.9%). Vision acuity was reduced in 33 (45.8%) patients, visual field was limited in 23 (31.9%). Forty-three patients completely recovered, negligible residual symptoms of benign intracranial hypertension persisted in 16, and all symptoms of the condition were virtually unchanged in 13 patients. Vision acuity remained reduced in 10 (13.9%) patients, and one female patient developed amaurosis of both eyes.

摘要

对72例良性颅内高压患者(69例女性,3例男性)进行了检查。除了一般临床症状,如71例头痛、29例头晕、19例呕吐、18例全身健康状况不佳、11例眼球疼痛性活动、10例行走不稳、9例耳鸣、3例头部有杂音外,所有患者的视觉器官均出现了变化。所有病例均检测到视盘充血。34例(47.2%)患者出现视物模糊,5例(6.9%)出现复视。33例(45.8%)患者视力下降,23例(31.9%)患者视野受限。43例患者完全康复,16例仍有轻微的良性颅内高压残留症状,13例患者病情的所有症状基本未变。10例(13.9%)患者视力仍下降,1例女性患者出现双眼黑矇。

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