丹麦脑瘤儿童视力下降 - 患病率,严重程度和诊断重要性
C S K Schmidt1,2, R Mathiasen1,3, K S Weile4,5
1The Laboratory of Pediatric Oncology, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Acta paediatrica (Oslo, Norway : 1992)
|November 17, 2025
概括
视力敏度降低 (VA) 在儿科大脑瘤中很常见,通常与其他症状一起出现. 早期检测需要儿科医生和眼科医生之间的合作,以便快速进行神经影像.
科学领域:
- 眼科医生 眼科 眼科
- 儿科瘤学 儿科瘤学
- 神经学 神经学
背景情况:
- 视力敏度降低 (VA) 是儿童严重潜在疾病的潜在指标.
- 初级脑瘤是儿童群体的一个重大问题,需要早期诊断.
研究的目的:
- 确定患有原发性脑瘤的儿童视力敏度降低 (VA) 的患病率,严重程度和诊断意义.
- 分析减少VA作为初始症状对总诊断间隔 (TDI) 的影响.
主要方法:
- 丹麦从2007年到2017年进行了一项全国性的回顾性研究.
- 包括所有被诊断患有初级脑瘤的18岁以下儿童,通过丹麦儿童癌症登记处确定.
- 数据是通过审查来自医院和眼科医生的患者记录来收集的.
主要成果:
- 减少VA在18.8%的患有原发性脑瘤的儿童中被发现,在12.6%的这些病例中作为初始征兆.
- 当减少VA是初始症状 (206天) 时,与其他初始症状 (86天) 相比,中位数的总诊断间隔 (TDI) 显着更长.
- 光盘异常是最常见的伴随眼科症状 (59.8%),幼儿单眼视力障碍的发病率更高.
结论:
- 视力敏度下降是儿科大脑瘤的常见发现,通常与其他临床症状同时发生.
- 有效的诊断取决于儿科医生和眼科医生之间的密切合作,以识别相关的症状并促进及时的神经成像.
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