OPTIC-NERVE DECOMPRESSION SURGERY IMPROVES VISUAL FUNCTION IN PATIENTS WITH PSEUDOTUMOR CEREBRI

被引：65

作者：

KELMAN, SE

HEAPS, R

WOLF, A

ELMAN, MJ

机构：

[1] UNIV MARYLAND,SCH MED,NEUROOPHTHALMOL SERV,BALTIMORE,MD 21201

[2] UNIV MARYLAND,SCH MED,DIV NEUROSURG,BALTIMORE,MD 21201

[3] UNIV MARYLAND,SCH MED,CLIN TRIALS & EPIDEMIOL UNIT,BALTIMORE,MD 21201

[4] UNIV MARYLAND,SCH MED,DEPT OPHTHALMOL,BALTIMORE,MD 21201

来源：

NEUROSURGERY | 1992年 / 30卷 / 03期

关键词：

CEREBROSPINAL FLUID SHUNTS; PAPILLEDEMA; PSEUDOTUMOR CEREBRI; VISUAL ACUITY; VISUAL FIELDS;

D O I：

10.1227/00006123-199203000-00013

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Papilledema from pseudotumor cerebri can cause severe loss of visual acuity and visual field. We performed optic nerve decompression surgery on 17 patients with pseudotumor cerebri who, despite maximum conventional therapy, developed progressive loss of visual acuity and/or visual field. Postoperatively, visual acuity improved or stabilized in 33 of 34 eyes (97%). Visual fields improved in 20 of 21 eyes that underwent surgery. Optic nerve decompression surgery relieves local cerebrospinal fluid pressure on the optic nerve. Progressive loss of visual function associated with pseudotumor cerebri can be reversed or stabilized with optic nerve sheath decompression surgery.

引用

页码：391 / 395

页数：5

共 22 条

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