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患者李××,男,51岁,因双眼视力下降半年,而来我院眼科就诊。追问病史,患者近半年来头晕、头疼,嗅觉明显下降,有时伴恶心。检查:视力:右,光感,左,4.3,双眼瞳孔等大,右眼直接对光反应迟钝。属光间质及眼压均正常,眼底检查:右眼视乳头境界清,色淡发白,血管外径基本正常,网膜反光增强。左眼视乳头境界模糊,血管弯曲度增强,+3D可见视乳头生理杯消失,且向玻璃体内隆起,经脑系科会诊,确诊为右侧额叶基底血管瘤,而行手术治疗。 讨论 额叶基底部综合征(Foester—kennedy氏征)为额叶肿瘤或嗅沟部脑腹瘤压迫同侧视神经造成下行性视神经
Li × × patients, male, 51 years old, decreased by binocular vision for six months, and come to our hospital ophthalmology. Asked history, patients nearly 60 years dizziness, headache, smell decreased significantly, sometimes with nausea. Check: visual acuity: right, light sense, left, 4.3, pupils and other large eyes, the right eye directly to light unresponsive. Is the light quality and intraocular pressure were normal, fundus examination: the right eye papillae realm clear pale pale, vascular diameter is normal, enhanced retinal reflex. Left eye papillae fuzzy, vascular tortuosity increased, + 3D visible papilla cup disappeared, and uplift to the vitreous, the brain department consultation, diagnosed as right frontal basal hemangioma, and surgical treatment. Discussion Frontal basal syndrome (Foester-kennedy’s syndrome) is the frontal lobe tumor or olfactory groove brain tumor of the ipsilateral optic nerve compression of the descending optic nerve