頁籤選單縮合
題名 | 小兒視神經炎的視力預後=Visual Outcome of Optic Neuritis in Children |
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作者 | 李原傑; 周介仁; 翁林仲; 陳慕師; Lee, Yuan-chieh; Jou, Jieh-ren; Woung, Lin-chung; Chen, Muh-shy; |
期刊 | 慈濟醫學 |
出版日期 | 20010900 |
卷期 | 13:3 2001.09[民90.09] |
頁次 | 頁155-159 |
分類號 | 417.6747 |
語文 | chi |
關鍵詞 | 視神經炎; 多發性硬化症; 視覺誘發電位; 視乳頭炎; Optic neuritis; Multiple sclerosis; Visual-evoked potential; VEP; Papillitis; |
中文摘要 | 目的:了解台灣地區小兒視神經炎的臨床表現和視力的預後。病人與 方法:我們收集臺大醫院於1991年至1996年發生視神經炎的兒童,病人的年齡 均小於16歲,且持續追蹤六個月以上。符合條件的病人共有十位,再將這十位 病人加以分析。結果:十位病人中有兩位是男性,有八位是女性。有五位病人在 發生視神經炎前不久或當時有發燒或感染的病史。在視神經的檢查方面,有四位 病人的視神經乳頭呈現浮腫,其餘六位病人的視神經盤為正常。七個兩側性的病 人中,有六位有好的視力恢復;而三個單側性的病人中,僅有一位視力有恢復。 年齡小於或等於六歲的四位病人,視力恢復都很好;而大於或等於七歲的六位病 人中,只有三位有好的視力恢復。五個有感染或發燒的病人中,有四位有好的視 力恢復(視力沒有恢復的病人,則是同時有嚴重的急性廣泛性腦炎);而五個沒有 感染或發燒的病人中,有三位的視力有恢復。四個視神經乳頭浮腫的病人中,有 三位有好的視力恢復;而六個視神經乳頭正常的病人中,有四位有好的視力恢 復。在發病時,適時予以靜脈類固醇治療(20 ~ 30 mg/kg/d),從我們的病人看起來 是有幫助的。結論:在我們臨床研究的十位病人中,出現視神經乳頭浮腫的情況, 較以前國外的報告少。視力恢復的情況則和以前文獻的報告差不多。兩側性發病 以及年齡較小的病人,視力預後似乎較好;而發病時是否有發燒感染、或視神經 乳頭浮腫,在我們的病人中,視力預後看不出有差別。在發病時,建議適時予以 靜脈類固醇治療(20~30 mg/kg/d)。(慈濟醫學 2001; 13:155-159) |
英文摘要 | Objective: To realize the clinical features and visual outcome of pediatric optic neuritis in Taiwan. Patients and Methods: We reviewed the records of all children (younger than 16 years of age) who presented with the diagnosis of optic neuritis at NTUH between 1991 and 1996, and the length of follow-up was longer than 6 months. Ten patients were included. Results: Eight of the ten patients were girls, and two were boys. The presumed etiology in five of them was post-infection. Four patients had papillitis, while the other six patients had normal optic disc examinations. Six of the seven patients with bilateral optic neuritis but only one of the three with unilateral optic neuritis had a good recovery. All four patients of 6 years old or younger had good visual recovery, but only three of six patients who were 7 years of age or older achieved this outcome. Four of the five patients who were post-infection and three of the remaining five patients had good visual recovery. Three of the four patients with papillitis and four of the six patients with normal optic disc examinations regained good vision. Intravenous steroid therapy (20~30 mg/kg/d) showed beneficial effects for visual recovery in our patients. Conclusions: The percentage of papillitis in our patients was lower than in other reports in the literature; but the visual recovery was similar. Younger patients and patients who were bilaterally involved had better recovery. Post-infection and funduscopic findings did not predict the visual outcome. Intravenous steroid therapy was advised. (Tzu Chi Med J 2001; 13:155-159) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。