查询词典 papilledema

Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome

目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析，并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography，FFA)、吲哚青绿血管造影(indocyanine green angiography，ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例，73.5%)，双眼同时患病118例(80.8%)；后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%)；前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例，98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%)；后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障；毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现；炎症活动期FFA典型表现为斑驳状高荧光，ICGA发现脉络膜血管扩张、通透性增高等改变；VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎，随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。

Results In addition to the typical characteristics of polyneuropathy (100%), organomegaly (92%), endocrinopathy (86%), monoclonal plasmaproliferative disorder (100%) and skin changes (86%), the patients of POEMS syndrome also have other important features including extravascular volume overload (97%), papilledema (57%) and bone lesions (25%).

结果 POEMS综合征患者除了具有多发性神经病(100%)、器官肿大(92%)、内分泌病(86%)、单克隆浆细胞增生(100%)和皮肤病变(86%)的典型临床特征外，还常常表现为血管外容量过负荷(97%)、视乳头水肿(57%)和骨病变(25%)。

To make the diagnosis of POEMS syndrome, both major and minor criteria are required. The former includes polyneuropathy and monoclonal plasmaproliferative disorder and the latter includes osteosclerotic bone lesions, Castleman disease, papilledema, organomegaly, edema or serous cavity effusion, endocrinopathy and skin changes.

POEMS综合征的诊断除应将多发性神经病和克隆性浆细胞疾病作为主要诊断标准外，还应该包括硬化性骨病变、Castleman病、视乳头水肿、外周性水肿和浆膜腔积液、皮肤病变、脏器肿大及内分泌病变在内的次要诊断标准。

It is pointed out that for patients suspected of papilledema, the underlying causes should immediately be looked for.

此外还介绍了视神经鞘减压术治疗视盘水肿的适应证、手术方法、效果以及并发症等。

ObjectiveTo probe into the characteristics that fundus fluorescein angiography was performed on hemodialysis patients having papilledema.

目的探讨行血液透析过程中出现视盘水肿患者的荧光素眼底血管造影的表现特征。

We checked his eyes before the surgery. No papilledema.

术前检查过他眼睛没有视神经乳头水肿

It is concluded that headache and papilledema are the most frequent symptoms in CVST and that MRI and MRV may be primal methods for the diagnosis of CVST.

头痛、视乳头水肿是颅内静脉窦血栓的主要表现，头颅MRI和MRV是诊断的主要依据。

AIM: To report a rare case of antiphospholipid syndrome presenting as papilledema and sixth nerve palsy in right eye due to superior sagittal sinus thrombosis, and regression of papilledema following anticoagulation and acetazolamide therapy.

目的：报告1例罕见抗磷脂综合征的患者，由于上矢状窦血栓形成而表现为双眼视乳头水肿及右眼第六颅神经麻痹，经抗凝和乙酰唑胺治疗后视乳头水肿恢复。

Reversal of papilledema changes in the optic disc to normal indicates the anatomical recovery, while reduction of enlargement of blind spot to normal size, recovery of red green deficieny to normal colour vision in both eyes and visual improvement after regression of papilledema in right eye indicate functional recovery in this patient.

抗磷脂综合征应与视乳头水肿鉴别诊断；对于顽固性的视乳头水肿，口服乙酰唑胺是抗凝治疗的重要辅助治疗，它可以保护视神经免受有可能导致失明后果的视神经损害。

Antiphospholipid syndrome should be considered in the differential diagnosis of papilledema, and oral acetazolamide is an important adjunct therapy to anti- coagulation in cases of refractory papilledema to protect the optic nerve from potential damage which results in blindness.

马来亚大学医学院眼科；马来亚大学医学院眼科；马来亚大学医学院眼科；马来亚大学医学院眼科；马来亚大学医学院神经科

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失