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"预防儿科异视性血栓塞的视力丧失:一个突出外科手术干预的病例报告"
Fatimah A AlMuhanna1, Wejdan S Hakami1, Abdullah M AlHashem2
1Division of Pediatric Neurology, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Frontiers in ophthalmology
|March 13, 2026
概括
儿童的耳性脑静脉鼻血栓 (CVST) 是一种罕见的中耳炎并发症,可导致严重的内高血压. 一个逐步的方法,结合视觉导向和降压疗法,有效地解决了 papilledema 和症状.
科学领域:
- 儿科神经学 儿科神经学
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 耳性脑静脉鼻血栓症 (CVST) 是儿童中耳炎的罕见但严重并发症.
- CVST可以导致严重的内高血压,呈现出视力威胁的乳头皮质.
研究的目的:
- 报告患有严重内高血压和 papilledema 的儿童患有耳性CVST病例.
- 评估一个逐步的治疗升级策略的疗效,以管理儿科CVST中耐火性乳头炎.
主要方法:
- 一个4岁女孩的病例报告,患有性CVST,涉及左侧横侧鼻和左侧侧鼻.
- 连续的眼科评估和神经成像被用来监测对干预的反应.
- 治疗干预包括抗生素,抗凝固药,医疗内压力管理,视神经外围 (ONSF) 和临时外部腰部排水.
主要成果:
- 患者出现明显的内高血压和双侧弗里森4级乳头瘤.
- 最初的医疗和ONSF疗法只带来了部分改善.
- 临时的外部腰部排水实现了皮囊,头痛和部神经麻的快速和持续解决,保持视觉功能.
结论:
- 一个结构化的,逐步升级的升级策略对于管理患有严重内高血压的儿科自产性CVST至关重要.
- 结合视觉导向 (ONSF) 和全球内降压干预措施 (腰部排水) 可以在医疗疗法失败时非常有效.
- 这种方法对于在复杂的儿科CVST病例中保持视觉功能至关重要.
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