以视力损害为首发表现的7例梅毒患者临床分析
Chinese Journal of Clinical Neurosciences(2012)
Abstract
目的:探讨以视力损害为首发表现的神经梅毒患者的临床表现及诊断.方法:回顾分析以“视力损害”为首发表现的7例梅毒患者的临床表现.结果:7例患者均以视力模糊或下降为首发表现,均首诊于眼科,经检查眼底及视力均有损害,初诊为视神经炎、葡萄膜炎等,后经梅毒血清学实验及脑脊液检测均为阳性.结论:以视力损害为首发的神经梅毒临床较少见,3例为梅毒性视网膜炎血管损害,4例为中枢神经系统梅毒的眼部表现.对不明原因的视力损害,尤其是葡萄膜炎、视网膜炎的患者要考虑梅毒的可能性,必须常规行血清和脑脊液的梅毒相关检查.
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