蛇咬伤患者的延迟性视力丧失：一例异常神经眼科表现的病例报告

IF 0.6 Q4 CLINICAL NEUROLOGY

Case Reports in Neurology Pub Date : 2022-03-24 DOI:10.1159/000523770

Sandip Kuikel, Suman Rimal, R. Ojha, Sanjeeta Sitaula, R. Karn, B. Gajurel, R. Rajbhandari, N. Gautam, Sunanda Paudel, Aashish Shrestha

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引用次数: 0

摘要

蛇咬伤后发生神经毒素相关性视神经炎并不常见。在此，我们报告一位70岁的女性，在接受抗蛇毒(ASV)治疗后，出现了双侧无痛性视力丧失。入院时，她的视力评估只有轻微的感觉，根据患者的病史和临床表现，在静脉注射甲基强的松龙(MP)后，视力急剧改善，初步诊断为on。影像学和视诱发电位检查最初不能进行，在静脉注射MP检查正常后进行。ASV虽然是一种挽救生命的治疗方法，但有时也与ON有关。

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Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation

Neurotoxin-related optic neuritis (ON) after snake bite is uncommon. Here, we present a case of a 70-year-old female who developed bilateral painless loss of vision after she received treatment with anti-snake venom (ASV). She had only perception of light on assessment of visual acuity on admission which then improved drastically after administration of intravenous methylprednisolone (MP) after making the provisional diagnosis of ON on the basis of history and clinical findings of the patient. Imaging and visual-evoked potential could not be done initially, and they were done after the administration of intravenous MP which had normal findings. ASV, though being a lifesaving treatment, has been sometimes associated with ON.

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.