Traumatic Optic Neuropathy in Two Patients with Different Manifestations and Outcomes

創傷性視神經病變：兩個不同臨床表現及結果之病歷報告

黃正金(Jheng-Jing Huang) ； 陳維恭(Wei-Kung Chen) ； 莊錦銘(Chin-Min Chuang) ； 鄭宜昌(Yi-Chang Cheng) ； 黃金財(Kim-Choy Ng)

《Mid-Taiwan Journal of Medicine》 4卷4期 (1999/12) Pp. 269-273

https://doi.org/10.6558/MTJM.1999.4(4).8

摘要

傷性視神經病變為頭部外傷少見之併發症，其自然恢復之情況有之，但仍有許多研究者希望藉由各種治療法改進其預後，其中最常使用者為短期大劑量之類固醇合併或不合併視神經管減壓手術。本立介紹兩個病例報告，分別為18及52歲之男性，住院時前者無光感應，後者則有，在接受類固醇治療後之結果大不相同，由此顯示受傷後時之視力是否有光感應以上對其視力恢復與否影響很大，同時回顧相關文獻一併討論。

關鍵字

視神經病變 ； 創傷

並列摘要

Traumatic optic neuropathy is a rare condition due to direct or indirect injury associated with head trauma. The optimal management modality is still controversial, though spontaneous visual recovery has been reported. We hereby present two patients, 18 and 52 years old, respectively, with traumatic optic neuropathy. They had different clinical presentations and had different outcomes after treatment with high-dose steroids. According to the results of these two patients, the initial clinical presentation of traumatic optic neuropathy may be important in predicting its outcome.

並列關鍵字

optic neuropathy ； trauma