BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 眼眶周围/球后疼痛
  • 视力下降合并视野暗点
  • 感知色彩的饱和度下降/色觉的损害
  • 相对传入瞳孔缺陷(RAPD)

其他诊断因素

  • 视盘水肿
  • 多发性硬化的神经系统异常表现
  • 视盘水肿
  • 多发性硬化的神经系统异常表现

危险因素

  • 年龄30-50岁
  • 女性
  • 白种人
  • 人类白细胞抗原DR(2)15基因突变

诊断性检查

首要检查

  • 视神经的磁共振检查
  • 血细胞计数分析
  • 血沉
  • C反应蛋白
全部具体信息

需要考虑的检查

  • 莱姆滴度
  • 维生素B12和叶酸
  • 脑脊液检查
  • 视神经脊髓炎抗体(水通道蛋白4抗体)
全部具体信息

治疗流程

贡献者

Chair of Neurology

School of Medical and Surgical Sciences

Division of Stroke Medicine

University of Nottingham

Nottingham

UK

利益冲突披露
CSC has received research support, support for travel to scientific meetings, or consultancy fees from Biogen, Bayer, Genzyme, Merck, Morphosys, Novartis, Roche, Sanofi-Pasteur, MSD, and Teva. CSC is an author of a number of references cited in this monograph.
Thomas M. Bosley MD

Professor

Department of Ophthalmology

King Saud University

Riyadh

Saudi Arabia

Professor

Division of Neurology

Cooper University Hospital

University of Medicine and Dentistry of New Jersey

Camden

NJ

利益冲突披露
TMB declares that he has no competing interests.

同行评议专家 查看所有

Consultant Ophthalmic Surgeon

King's College Hospital

Honorary Research Fellow

Institute of Ophthalmology

London

UK

利益冲突披露
GG declares that he has no competing interests.

Professor

Department of Neurology and Psychiatry

Saint Louis University

St. Louis

MO

利益冲突披露
JS declares that he has no competing interests.

Department of Ophthalmology

Geneva University Hospitals

Geneva

Switzerland

利益冲突披露
EM declares that he has no competing interests.

Specialist Registrar in Ophthalmology

Royal Victoria Infirmary

Newcastle

UK

利益冲突披露
JS declares that he has no competing interests.

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