Antonio Strangio, Jean-Michel Bourque, Martin Côté, Pierre-Olivier Champagne
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引用次数: 0
摘要
创伤性视神经病变(TON)是指头部受伤后视神经受损,约占闭合性头部受伤患者的 0.5-5%。其特征是视力突然下降和/或视野缺损。当视神经管水平发生持续压迫时,通常需要进行手术治疗。我们描述了内窥镜鼻内入路治疗压迫性 TON 的技术细节,并补充了支持这种方法作为治疗这种疾病的有效选择的证据。
How I do it - endoscopic endonasal optic nerve decompression for traumatic optic nerve neuropathy
Traumatic optic neuropathy (TON) consists of damage to the optic nerve following head injury and affects about 0.5–5% of patients with closed head injuries. It is characterized by a sudden decrease in visual acuity and/or visual field loss. Surgical treatment is usually warranted when ongoing compression occurs at the level of the optic canal. We describe the technical nuances of endoscopic endonasal approach for compressive TON and add evidence supporting this approach as a valid option to treat this condition.
期刊介绍:
The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.