Optic Neuropathy in Children With Lyme Disease
| Autor: | Allen C. Steere, Thomas R. Hedges, Holly Rothermel |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Optic Neuritis Adolescent genetic structures Fundus Oculi Ocular hypertension Enzyme-Linked Immunosorbent Assay Blindness Optic neuropathy Optic Nerve Diseases medicine Humans Optic neuritis Child Papilledema Intracranial pressure Lyme Disease business.industry Age Factors medicine.disease eye diseases Anti-Bacterial Agents Surgery Optic Atrophy Peripheral neuropathy Pediatrics Perinatology and Child Health Optic nerve Female Ocular Hypertension medicine.symptom business Meningitis |
| Zdroj: | Pediatrics. 108:477-481 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.108.2.477 |
| Popis: | Involvement of the optic nerve, either because of inflammation or increased intracranial pressure, is a rare manifestation of Lyme disease. Of the 4 children reported here with optic nerve abnormalities, 2 had decreased vision months after disease onset attributable to optic neuritis, and 1 had headache and diplopia early in the infection because of increased intracranial pressure associated with Lyme meningitis. In these 3 children, optic nerve involvement responded well to intravenous ceftriaxone therapy. The fourth child had headache and visual loss attributable to increased intracranial pressure and perhaps also to optic neuritis. Despite treatment with ceftriaxone and steroids, he had persistent increased intracranial pressure leading to permanent bilateral blindness. Clinicians should be aware that neuro-ophthalmologic involvement of Lyme disease may have significant consequences. If increased intracranial pressure persists despite antibiotic therapy, measures must be taken quickly to reduce the pressure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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