Neuro-ophthalmic Analyses of Head Trauma Patients
Journal of the Korean Ophthalmological Society
;
: 1105-1111, 2019.
Artigo
em Coreano
| WPRIM
| ID: wpr-766845
ABSTRACT
PURPOSE:
To investigate the types and clinical features of neurological diseases after head trauma.METHODS:
From March 2010 to December 2018, a total of 177 patients were enrolled in this study. We retrospectively reviewed the clinical features of neurological ophthalmic diagnoses and frequencies, the types of head injuries, and the prognoses.RESULTS:
Cranial nerve palsy was the most common (n = 63, 35.6%), followed by traumatic optic neuropathy (n = 45, 25.4%), followed by optic disc deficiency, ipsilateral visual field defect, Nystagmus, skewing, ocular muscle paralysis between nuclei, and Terson syndrome. Neuro-ophthalmic deficits occurred in relatively strong traumas accompanied by intracranial hemorrhage or skull fracture. However, convergence insufficiency and decompensated phoria occurred in relatively weak trauma such as concussion. The prognoses of the diseases were poor (p < 0.05) for traumatic optic neuropathies and visual field defects. The prognoses of neurological diseases were poor if accompanied by intracranial hemorrhages or skull fractures (p < 0.05).CONCLUSIONS:
After head trauma, various neuro-ophthalmic diseases can occur. The prognosis may differ depending on the type of the disease, and the strength of the trauma may affect the prognosis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paralisia
/
Prognóstico
/
Fraturas Cranianas
/
Campos Visuais
/
Transtornos da Motilidade Ocular
/
Estrabismo
/
Estudos Retrospectivos
/
Doenças dos Nervos Cranianos
/
Hemorragias Intracranianas
/
Traumatismos do Nervo Óptico
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2019
Tipo de documento:
Artigo
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