论文部分内容阅读
目的分析儿童颅内病变首先在眼部的临床特征。方法回顾19例以眼部为首发症状的儿童颅内病变,分析其临床表现及影像学特征。结果视力低下11例占57.0%。颅内病变蛛网膜囊肿3例占15.0%、颅咽管肿瘤3例占15.0%、脑干肿瘤2例占10.0%,额叶病变4例占21.0%、病毒性脑炎3例占15.0%、骨纤维异常增殖症3例占15.0%。结论颅内病变可以出现眼部不同临床表现,视力低下最常见。对可疑病例要进行头部CT或MRI检查,以免误诊。
Objective To analyze the clinical features of children with intracranial lesions first in the eye. Methods Nineteen cases of intracranial lesions in children with ocular deformities were retrospectively reviewed. The clinical manifestations and imaging features were analyzed. Results of poor vision in 11 cases accounted for 57.0%. Intracranial lesions arachnoid cyst in 3 cases accounted for 15.0%, craniopharyngioma in 3 cases accounted for 15.0%, brain stem tumor in 2 cases accounted for 10.0%, frontal lobe in 4 cases accounted for 21.0%, viral encephalitis in 3 cases accounted for 15.0% 3 cases of dysplasia of bone fiber accounted for 15.0%. Conclusion Intracranial lesions can occur in different clinical manifestations of the eye, poor vision is the most common. Suspected cases of head CT or MRI examination to avoid misdiagnosis.