두부외상 환자에서 발현되는 신경안과적 질환과 예측인자

• 영문명: Neuro-Ophthalmic Manifestations of Head Trauma and Predictive Factors
• 발행기관: 대한안과학회
• 저자명: 이동욱,Dong-Wook Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number3, 422~428쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.03.31

영문 초록

Purpose: To describe the neuro-ophthalmic findings in a group of patients with head trauma. Methods: A retrospective chart review of all patients who were given a diagnosis code of cerebral concussion and cerebral contusion in a hospital between 1995 and 2003. A total of 1284 consecutive patients were reviewed (972 [76%] men and 312 [24%] women). The mean age was 40.36 years. Motor vehicle accident was the most common cause of head trauma, occurring in 944 (74%) patients. Results: Ophthalmological examination was undertaken in 308 (24%) head trauma patients and an abnormal neuro-ophthalmic examination result was noted in 122 patients (9.5% of total patients, 40% of ophthalmologically examined patients). Traumatic optic neuropathy was the most common manifestation, followed by oculomotor, abducens, trochlear, facial nerve palsy, Terson syndrome and internuclear ophthalmoplegia. Loss of consciousness and cerebral concussion were not associated with any outcomes, but the presence of neuroimaging (computed tomography, magnetic resonance imaging) abnormality, particularly intracranial hemorrhage and skull fracture, was significantly associated with neuro-ophthalmic deficits. Conclusions: Head trauma causes a number of neuro-ophthalmic manifestations. Intracranial hemorrhage and skull fracture may be a reliable predictor of specific neuro-ophthalmic outcomes.

키워드

Head trauma, Loss of consciousness, Neuroimaging abnormality, Neuro-ophthalmic findings