Neurology:玻璃体视乳头牵引所致假性视盘水肿

2019-07-26 zyx整理 神经科病例撷英拾粹

44岁无症状男性,在常规随访中发现右侧视神经外观发生变化。视觉功能正常,没有相对性瞳孔传入障碍。

44岁无症状男性,在常规随访中发现右侧视神经外观发生变化。视觉功能正常,没有相对性瞳孔传入障碍。右眼视盘边缘模糊,视乳头周围视网膜血管有遮蔽(图A)。光学相干断层扫描(OCT)证实了玻璃体视乳头牵引(vitreopapillary traction)的诊断(图B),出现假性视盘水肿表现。无症状单侧视乳头水肿的鉴别诊断中应包括玻璃体视乳头牵引,这些病例应行经视神经头的OCT检查。


(图:A:右侧视神经彩色照片,可见视网膜血管遮蔽区域[白箭];B:通过视神经上部[顶部]至下部[底部]的光学相干断层扫描证实玻璃体视乳头牵引的诊断)

原始出处:Kletke SN1, Micieli JA2. Teaching NeuroImages: Pseudo-optic disc edema from vitreopapillary traction. Neurology. 2019 Jul 16;93(3):e317.

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    2019-07-28 小华子
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