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題名 | 梅毒性神經視網膜炎--臨床及電生理學之一例觀察報告 |
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作者 | 尤景弘; 宋湖仙; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 31:3 1992.09[民81.09] |
頁次 | 頁87-92 |
分類號 | 416.746 |
關鍵詞 | 梅毒性神經視網膜炎; 電生理學; Pattern ERG; Pattern VEP; Syphilis; Neuroretinitis; |
語文 | 中文(Chinese) |
中文摘要 | 我們記錄了一位患有梅毒性神經視網膜炎的42歲男子在接受治療前後 PVEP和PERG的變化。在治療前,兩眼PVEP P100波的出現時間輕度延後,但PERG P50及N95波的振幅明顯地減弱甚至消失。隨著治療後臨床症狀的改善,這些波也 慢慢恢復正常。顯示在病變早期視神經以及整個視網膜都受到波及,而經過藥物 治療之後,病情漸漸好轉,避免了節神經細胞進一步的損傷和視神經的脫髓鞘病 變。這個結果和我們臨床上的觀察是一致的。 |
英文摘要 | A 40-year-old healthy man, 2 months afterpartial recovery of sudden visual loss in the left eye ,developed painless bilateral neuroretinitis. The simul-taneous recording of his pattern VEP and pattern ERG revealed absent pattern ERG with minimaldelayed pattern VEP. The FAG study of his retinashowed delayed retinal arterial filling and increasedcapillary perfusion with late staining of the disc. The serology of his blood and spinal fluid disclosed neurosypililis. After intravenous penicillin G and oral steroid treatment for 7 days, his vision improved with recovery of pattern ERG recording. From this case, we demonstrated that pattern ERG reflected inner retinal layer dysfunction of syphilitic neuroretinitis and future application is encouraged. |
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