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目的分析脑部磁共振检查(MRI)示空蝶鞍综合征患者的眼底表现。设计回顾性病例系列。研究对象经脑部MRI检查后诊断为“空蝶鞍”及“部分空蝶鞍”患者22例。方法回顾性分析了2009年12月25日至2010年2月8日于北京同仁医院接受脑部MRI检查后发现“空蝶鞍”患者22例,均行眼底立体照相,分析患者临床表现、MRI诊断及眼底立体照相所见。主要指标临床表现及眼底照相所见。结果 22例患者中,以头晕为主诉者3例(13.64%);以头痛为主诉者4例(18.18%);以视力下降为主诉者6例(27.27%);以视野缺损为主诉者4例(18.18%)。眼底立体照相发现1例患者左眼视网膜血管高度迂曲、扩张;2例患者双眼视乳头水肿;1例患者单眼视乳头水肿;1例患者双眼视乳头水肿伴视网膜水肿、放射状皱褶。结论原发性空蝶鞍综合征患者最常见的临床表现是视力下降、视野缺损、头晕、头痛。眼底表现主要为视乳头水肿。
Objective To analyze the ocular manifestations of patients with cranial magnetic resonance imaging (MRI). Design retrospective case series. The subjects were diagnosed as “empty butterfly saddle” and “partial empty saddle” after the brain MRI examination in 22 cases. Methods A retrospective analysis was performed on 22 patients with “empty sellar” admitted to Beijing Tongren Hospital from December 25, 2009 to February 8, 2010 in Beijing Tongren Hospital. All patients underwent stereotactic fundus photography and analyzed their clinical manifestations , MRI diagnosis and stereoscopic fundus seen. The main indicators of clinical manifestations and fundus photography seen. Results Among the 22 patients, dizziness was the main complaint in 3 cases (13.64%), headache was mainly in 4 cases (18.18%), visual acuity was mainly in 6 cases (27.27%), and visual field defects were mainly 4 Example (18.18%). Fundus stereopsis found that 1 patient left eye retinal blood vessels highly tortuous and dilated; 2 patients binocular papilledema; 1 patient monocular papilledema; 1 patient binocular papilledema with retinal edema, radial wrinkles. Conclusions The most common clinical manifestations of primary empty sella syndrome are vision loss, visual field defect, dizziness and headache. Fundus performance is mainly papilledema.