目的:报道1例梅毒性视神经炎的临床特征和诊治要点,分析该病的发生机制及治疗预后。方法:回顾该病例的诊疗过程,并结合相关文献分析该病表现及治疗预后。结果:根据患者病史、症状、体征,全身辅助检查,眼底照相,梅毒血清学及脑脊液检查,...目的:报道1例梅毒性视神经炎的临床特征和诊治要点,分析该病的发生机制及治疗预后。方法:回顾该病例的诊疗过程,并结合相关文献分析该病表现及治疗预后。结果:根据患者病史、症状、体征,全身辅助检查,眼底照相,梅毒血清学及脑脊液检查,诊断为“梅毒性视神经炎左眼”,行青霉素注射治疗,随访5个月,病情稳定。结论:梅毒性视神经炎临床并不常见,早期诊断和及时治疗对于控制病情、提升患者的视功能十分重要。Objective: To report the clinical features and key points of diagnosis and treatment of a case of syphilitic optic neuritis, and to analyze the mechanism of the disease and its treatment prognosis. Methods: The diagnosis and treatment process of the case was reviewed, and the manifestations and treatment prognosis of the disease were analyzed in the light of relevant literature. Results: Based on the patient’s medical history, symptoms, signs, systemic auxiliary examination, fundus photography, syphilis serology and cerebrospinal fluid examination, the patient was diagnosed as “syphilitic optic neuritis of the left eye”, and was treated with penicillin injection, and the condition was stabilised after 5 months of follow-up. Conclusion: Syphilitic optic neuritis is not common in the clinic, and early diagnosis and timely treatment are very important for controlling the disease and improving the patient’s visual function.展开更多
目的回顾性分析前庭神经炎(vestibular neuritis,VN)患者急性期视频头脉冲试验(video head impulse test,vHIT)及双温试验结果,探讨其对于VN诊断的意义及二者相关性。方法回顾性选取2019年1月至2022年10月唐山市眩晕诊疗康复中心收治的V...目的回顾性分析前庭神经炎(vestibular neuritis,VN)患者急性期视频头脉冲试验(video head impulse test,vHIT)及双温试验结果,探讨其对于VN诊断的意义及二者相关性。方法回顾性选取2019年1月至2022年10月唐山市眩晕诊疗康复中心收治的VN急性期患者40例,依据半规管轻瘫(cannal paralysis,CP)值患者分为A组(CP>50%)15例,B组(25%≤CP≤50%)17例,C组(CP<25%)8例,比较分析其vHIT、双温试验结果。结果水平半规管、前半规管vHIT阳性均高于后半规管,差异有统计学意义(P<0.001)。双温试验结果阳性率80.00%。A组受损侧水平半规管vHIT增益值低于B组、C组,差异均有统计学意义(P<0.05);B组受损侧水平半规管vHIT增益值低于C组,差异有统计学意义(P<0.05)。结论VN患者水平半规管、前半规管高频受损概率高于后半规管。双温试验CP值越大,相应水平半规管vHIT的增益值越低。VN超早期水平半规管可能出现低频损伤反应延迟现象,需联合vHIT共同评估半规管功能。展开更多
文摘目的:报道1例梅毒性视神经炎的临床特征和诊治要点,分析该病的发生机制及治疗预后。方法:回顾该病例的诊疗过程,并结合相关文献分析该病表现及治疗预后。结果:根据患者病史、症状、体征,全身辅助检查,眼底照相,梅毒血清学及脑脊液检查,诊断为“梅毒性视神经炎左眼”,行青霉素注射治疗,随访5个月,病情稳定。结论:梅毒性视神经炎临床并不常见,早期诊断和及时治疗对于控制病情、提升患者的视功能十分重要。Objective: To report the clinical features and key points of diagnosis and treatment of a case of syphilitic optic neuritis, and to analyze the mechanism of the disease and its treatment prognosis. Methods: The diagnosis and treatment process of the case was reviewed, and the manifestations and treatment prognosis of the disease were analyzed in the light of relevant literature. Results: Based on the patient’s medical history, symptoms, signs, systemic auxiliary examination, fundus photography, syphilis serology and cerebrospinal fluid examination, the patient was diagnosed as “syphilitic optic neuritis of the left eye”, and was treated with penicillin injection, and the condition was stabilised after 5 months of follow-up. Conclusion: Syphilitic optic neuritis is not common in the clinic, and early diagnosis and timely treatment are very important for controlling the disease and improving the patient’s visual function.
