Burton B J, Leff A P, Plant G T
National Hospital for Neurology and Neurosurgery, London, England.
J Neuroophthalmol. 1998 Mar;18(1):25-9.
A 37-year-old man with bilateral optic neuropathy who recovered on steroid treatment is described. He was subsequently found to be human immunodeficiency virus 1 (HIV-1) positive prior to the onset of his visual symptoms, and no other cause of his optic neuropathy could be found. There is some evidence that HIV itself may be a cause of symptomatic optic neuropathy. A spontaneously relapsing and remitting multiple sclerosis-like syndrome has previously been described in HIV-positive patients, and this may present with optic neuritis. A chronic optic neuritis in HIV-positive patients that is not usually symptomatically important has also been described. We review the literature related to these topics and our patient.
本文描述了一名37岁双侧视神经病变男性患者，其经类固醇治疗后康复。随后发现他在出现视觉症状之前就已感染人类免疫缺陷病毒1型（HIV-1），且未发现其他导致其视神经病变的原因。有证据表明，HIV本身可能是症状性视神经病变的病因。此前曾在HIV阳性患者中描述过一种自发缓解复发的多发性硬化样综合征，该综合征可能表现为视神经炎。也有文献描述了HIV阳性患者中一种通常无明显症状的慢性视神经炎。我们回顾了与这些主题以及我们的患者相关的文献。
