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[视力障碍加剧]

[Increasing vision disorder].

作者信息

Kolakovic P, Landau K, Steiner A

机构信息

Departement Innere Medizin und Augenklinik, Universitätsspital Zürich.

出版信息

Praxis (Bern 1994). 1996 Feb 27;85(9):283-6.

PMID:8685573
Abstract

A 62-year-old patient complained about slowly increasing, intermittent vision disorders. Ophthalmologic investigation revealed choked disks in both eyes. A neurologic investigation performed thereafter disclosed increased cerebrospinal fluid pressure without recognizable cause. Internistic investigation was inconspicious; in particular, there were no indications for a systemic disease. The distinct findings of choked disks on both sides and increased cerebrospinal fluid pressure without detectable organic causes finally lead to the diagnosis of benign intracranial hypertension or pseudotumor cerebri. Not until the nerve sheath of the right optic nerve was split did the visual field defects in the right eye diminish. Splitting of the left optic nerve sheath is planned.

摘要

一名62岁患者主诉视力障碍逐渐加重且呈间歇性。眼科检查发现双眼视乳头水肿。随后进行的神经学检查显示脑脊液压力升高但原因不明。内科检查无异常;特别是没有全身性疾病的迹象。双侧视乳头水肿以及脑脊液压力升高且无器质性病因的明显发现最终导致诊断为良性颅内高压或假性脑瘤。直到右侧视神经鞘被切开,右眼的视野缺损才有所减轻。计划切开左侧视神经鞘。

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