一名儿童中与视盘玻璃膜疣相关的脉络膜新生血管膜
Choroidal neovascular membrane associated with optic nerve head drusen in a child.
作者信息
Brown S M, Del Monte M A
机构信息
W. K. Kellogg Eye Center, University of Michigan, Ann Arbor 48105, USA.
出版信息
Am J Ophthalmol. 1996 Feb;121(2):215-7. doi: 10.1016/s0002-9394(14)70591-4.
PURPOSE
To illustrate the diagnosis, evaluation, and complications of pseudopapilledema in children.
METHODS
We examined a 9-year-old boy who had suspected papilledema and a retinal mass. He had undergone neuroradiologic imaging at an outside facility.
RESULTS
Clinical examination of the patient provided the diagnosis of optic nerve head drusen, pseudopapilledema, and a cicatrized choroidal neovascular membrane. Examination of the boy's parents disclosed optic nerve head drusen in the father.
CONCLUSIONS
Choroidal neovascular membranes caused by optic nerve head drusen are uncommon in children. Clinical examination of the patient and family members, along with B-scan ultrasonography, can establish this cause. Neuroradiologic testing is unnecessary, and carries risk related to the need for sedation.
目的
阐述儿童假性视乳头水肿的诊断、评估及并发症。
方法
我们检查了一名9岁男孩，他疑似患有视乳头水肿和视网膜肿物。他曾在外部机构接受神经放射影像学检查。
结果
对该患者的临床检查确诊为视神经乳头玻璃疣、假性视乳头水肿和瘢痕化脉络膜新生血管膜。对男孩父母的检查发现父亲患有视神经乳头玻璃疣。
结论
视神经乳头玻璃疣引起的脉络膜新生血管膜在儿童中并不常见。对患者及其家庭成员进行临床检查，结合B超检查，可明确病因。神经放射学检查没有必要，且因需要镇静而存在风险。
Zotero 插件