莱姆神经病患者的视神经参与:一项电生理学研究
Jana Szanyi1, Jan Kremlacek2, Zuzana Kubova2
1Department of Pathological Physiology, Faculty of Medicine in Hradec Kralove, Charles University, Simkova 870, 500 03, Hradec Kralove, Czech Republic. szanyi@lfhk.cuni.cz.
Documenta ophthalmologica. Advances in ophthalmology
|April 15, 2024
概括
视觉唤起潜能 (VEP) 有助于诊断莱姆神经病 (LNB) 的视觉神经问题. 异常的VEP很常见,特别是在老年患者和面部患者中,视觉系统的恢复比面部神经的恢复要长.
科学领域:
- 神经生理学 神经生理学
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 莱姆神经病 (LNB) 可以影响视神经,导致视力障碍.
- 在LNB中诊断视神经参与对于及时和有效的治疗至关重要.
研究的目的:
- 为了回顾性地分析LNB患者的视觉唤起潜力 (VEPs).
- 评估VEP在诊断视神经干扰方面的实用性,特别是在患有外周面 (PFP) 的LNB患者中.
主要方法:
- 在241名捷克患者的VEP (模式逆转和运动开始) 的回顾性分析中,可能/确定的LNB.
- 患者按年龄 (40岁以下/40岁以上) 和PFP的存在分类.
主要成果:
- 在150/241名患者中发现异常VEP,在40岁以上的患者中更频繁.
- 患有PFP的患者表现出异常VEP峰值时间的高发病率 (84.6%).
- 与外围面部恢复 (数月) 相比,视觉系统功能恢复速度较慢 (1+年).
结论:
- VEPs提高了LNB早期诊断过程的敏感性.
- 在LNB患者中,VEP分析对于识别和监测视神经参与是有价值的.
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