摘要
目的观察视神经鞘开窗术(optic nerve sheath fenestration,ONSF)对颅内高压性视乳头水肿的初步疗效。方法以ONSF治疗颅内高压性(包括隐球菌性脑膜炎继发性颅内高压、矢状窦静脉血栓继发性颅内高压、特发性颅内高压和神经梅毒继发性颅内高压)视乳头水肿,观察患者的术后视功能、颅内压、手术并发症等。结果除神经梅毒外,其余患者术后头疼均消失,视乳头水肿迅速减轻并消失。隐球菌性脑膜炎、矢状窦静脉血栓继发性颅内高压性视乳头水肿患者视力得以保存;特发性颅内高压性视乳头水肿、视力、视野明显改善和恢复。结论 ONSF是进行性视功能下降的颅内高压性视乳头水肿的有效治疗方式,手术时间越早,视功能恢复的可能性越大。
Objective To observe the effect of optic nerve sheath fenestration （ONSF） on treatment of papilledema. Methods The patients with papilledema caused by intracranial hypertension secondary to Cryptococcus meningitis, sagittal sinus vein thrombosis, idiopathic intracranial hypertension （IIH） and neurosyphilis were treated by ONSF. The visual function, intracranial pressure and the complications were observed. Results Except the neurosyphilis, the headache was resolved and the optic nerve edema was alleviated after operation for Cryptococcus meningitis, sagittal sinus vein thrombosis, and idiopathic intracranial hypertension. Furthermore, the vis-ual function of the patient with Cryptococcus and sagittal sinus vein thrombosis was survived and that of the patient with idiopathic in-tracranial hypertension was improved. Conclusion 0NSF is effective to treat the papilledema patients with progressive visual function loss. The time of surgery is the key for success.
出处
《实用医院临床杂志》
2013年第6期53-56,共4页
Practical Journal of Clinical Medicine
关键词
视神经鞘开窗术
视乳头水肿
隐球菌脑膜炎
特发性颅内高压
海绵窦血栓形成
神经梅毒
Optic nerve sheath fenestration
Papilledema
Cryptococcus meningitis
Idiopathic intracranial hypertension
In-tracranial hypertension
Neurosyphilis
