视神经炎与光学相关的急性中间尿道炎
Poojitha Balakrishnan1, John Paul Luckett1,2, Michael Vaphiades1
1Department of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
International medical case reports journal
|December 3, 2025
概括
神经脊髓炎光学谱系障碍 (NMOSD) 可以呈现为中间性脑膜炎,这是一个罕见的眼科表现. 这一案例凸显了在脑膜炎差异和NMOSD患者持续眼科检查中考虑NMOSD的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 光神经炎是神经omyelitis光谱障碍 (NMOSD) 的一个关键诊断标准.
- 在NMOSD患者中,除了视神经炎之外的眼睛表现也很少被报告.
- 介质性脑膜炎是眼睛中层的炎症.
研究的目的:
- 报告患有抗aquaporin-4抗体 (AQP4) 阳性NMOSD的患者中介性脑膜炎病例.
- 强调在中间性脑膜炎的差异诊断中考虑NMOSD.
- 突出 NMOSD 中顺序性眼科症状的意义.
主要方法:
- 病例报告详细介绍了一名17岁的女性,患有单侧中间性脑膜炎.
- 随后的呈现与同一眼中的视神经炎.
- 诊断工作包括神经成像和AQP4抗体测试.
主要成果:
- 这位患者呈现出单侧中间性脑膜炎的临床症状.
- 患者后来在受影响的眼睛中出现了视神经炎.
- 诊断工作证实了NMOSD与阳性AQP4抗体.
结论:
- 中间性脑膜炎可能是NMOSD的表现.
- 应将NMOSD纳入中级紫外线炎患者的差异诊断.
- 随之而来的视膜炎和视神经炎的序列强调了在NMOSD中需要持续的眼科监测.
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