神经中的眼睛发现:从2012年到2022年的回顾性研究
Huanhuan Cheng1, Haocheng Zhu1, Gang Shen2
1Department of Ophthalmology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Frontiers in neurology
|December 13, 2024
概括
视神经病变等眼部表现在神经中很常见,导致视力丧失. 瞳孔异常可能表明更严重的中枢神经系统参与和脑脊液变化.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 神经,Treponema pallidum感染的晚期并发症,可以呈现出各种神经和眼部症状.
- 早期诊断和治疗对于预防不可逆转的神经损伤和视力丧失至关重要.
研究的目的:
- 为了研究诊断为神经病的患者眼部表现的频谱.
- 探索眼部症状与神经病严重程度的一般临床/实验室指标之间的关联.
主要方法:
- 在2012年至2022年期间住院的106名神经病患者的回顾性分析.
- 临床数据的审查,包括眼科检查,脑脊液 (CSF) 分析和脑磁共振成像 (MRI).
主要成果:
- 10名患者出现了眼部症状,视力减弱是最常见的投诉.
- 视神经病变和后膜炎是视力丧失的主要原因,所有受影响患者的视神经都受到影响.
- 在27.4%的患者中观察到瞳孔异常,与CSF白细胞数量升高以及MRI上多个脑病变的可能性增加相关.
结论:
- 视神经的干扰是神经病中视力障碍的重要原因之一.
- 建议在出现视神经病变或后膜炎的患者进行及时梅毒评估.
- 瞳孔异常作为潜在的生物标记在神经中更严重的中枢神经系统疾病.
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