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在神经科和眼科的某些疾患之间的鉴别诊断问题,早已被人们所重视。由于解剖上的密切关系,颅神经有一半与眼科有关,在中枢神经系统中约有38%的神经纤维与视觉有连系,大约有65%的颅内疾病可发现眼部症状和体征。因而眼科医师掌握有关神经科的知识是完全必要的。神经科医师也应对眼科疾患有一定概念,否则常会导致误诊,影响及时治疗。有关神经科眼科误诊的精确数字,尚未见明确的统计资料。主要误诊原因是由于颅内占位性病变未能及时诊断。有人统计200例脑瘤中,有60例曾首先到眼科去诊治,其中
The differential diagnosis between neurological and ophthalmic diseases has long been valued. Due to the anatomical close relationship, half of the cranial nerves are ophthalmologically related. About 38% of the nerve fibers in the central nervous system are associated with vision. Approximately 65% of intracranial diseases can find ocular symptoms and signs. Therefore it is absolutely necessary for the ophthalmologist to acquire the knowledge about neurology. Neurologists should also have a certain concept of eye diseases, otherwise often lead to misdiagnosis, affecting timely treatment. There is no clear statistical information on the precise number of misdiagnosed ophthalmology in neurology. The main cause of misdiagnosis is due to intracranial space-occupying lesions failed to timely diagnosis. Some statistics of 200 cases of brain tumors, 60 cases had first went to the eye treatment, of which