摘要
目的:分析以单眼视神经受损为首发症状的多发性硬化症的临床特点,探讨误诊原因。方法:对3例诊断为视神经炎及球后视神经炎,给予详细的眼科检查、VEP检查及颅脑MRI检查。结果:通过眼部检查、相关辅助检查及颅脑磁共振检查最后确诊3例单眼视神经受损的患者均为多发性硬化症。结论:多发性硬化症若以视神经受累为首发症状而无全身其他症状时,容易诊断为单纯性视神经炎而漏诊。
AIM： To analyze the clinical characteristic and cause of misdiagnosis in patients with multiple sclerosis. METHODS, A retrospective clinical trial was conducted in three patients with the diagnosis of optic neuritis. The following examinations were taken： visual acuity, visual fields, slit lamp, visual evoked potential （VEP）, MRI of brain. RESULTS： Two patients had normal disk, vessels and macula and one patient had edema disk. All patients had postponed P100 in VEP recording. MRI of brain in T2 weighted axial image showed many bright lesions in the periventricular white matter. CONCLUSION, All three patients were finally diagnosed with multiple sclerosis based upon MRI findings. The misdiagnosis of multiple sclerosis occurred commonly when patients only had ocular symptoms.
出处
《国际眼科杂志》
CAS
2009年第7期1408-1410,共3页
International Eye Science
关键词
多发性硬化症
视神经受累
漏诊
multiple sclerosis
optic nerve damage
misdiagnosis
