Systemic and Ocular Findings in 100 Patients With Optic Nerve Hypoplasia

Autor: Edna B. Ty, A. David Rothner, Mehryar Taban, Douglas Rogers, Elias I. Traboulsi, M. Lourdes Garcia
Rok vydání: 2006
Předmět:
Male
Pathology
medicine.medical_specialty
Visual acuity
Adolescent
genetic structures
Developmental Disabilities
Population
Vision Disorders
Endocrine System Diseases
Corpus callosum
Cerebral Ventricles
Cerebral palsy
03 medical and health sciences
0302 clinical medicine
Pregnancy
030225 pediatrics
Optic Nerve Diseases
medicine
Humans
Abnormalities
Multiple

Child
education
Retrospective Studies
Optic nerve hypoplasia
education.field_of_study
Epilepsy
business.industry
Cerebral Palsy
Infant
Newborn

Infant
Optic Nerve
Unilateral Optic Nerve Hypoplasia
medicine.disease
eye diseases
Hydrocephalus
Diabetes
Gestational

Fetal Alcohol Spectrum Disorders
Dysplasia
Child
Preschool

Pediatrics
Perinatology and Child Health

Female
Septum Pellucidum
Neurology (clinical)
Agenesis of Corpus Callosum
medicine.symptom
business
Infant
Premature

030217 neurology & neurosurgery
Zdroj: Journal of Child Neurology. 21:949-956
ISSN: 1708-8283
0883-0738
DOI: 10.1177/08830738060210111701
Popis: To describe associated ocular, neurologic, and systemic findings in a population of children with optic nerve hypoplasia, a retrospective chart review of 100 patients with optic nerve hypoplasia for the presence of neurologic, radiologic, and endocrine abnormalities was performed. Neuroimaging and endocrine studies were obtained in 65 cases. Visual acuity and associated ocular, neurologic, endocrine, systemic, and structural brain abnormalities were recorded. Seventy-five percent had bilateral optic nerve hypoplasia. Conditions previously associated with optic nerve hypoplasia and present in our patients include premature birth in 21%, fetal alcohol syndrome in 9%, maternal diabetes in 6%, and endocrine abnormalities in 6%. Developmental delay was present in 32%, cerebral palsy in 13%, and seizures in 12%. Of those imaged, 60% had an abnormal study. Neuroimaging showed abnormalities in ventricles or white- or gray-matter development in 29 patients, septo-optic dysplasia in 10, hydrocephalus in 10, and corpus callosum abnormalities in 8. There was an associated clinical neurologic abnormality in 57% of patients with bilateral optic nerve hypoplasia and in 32% of patients with unilateral optic nerve hypoplasia. Patients with unilateral and bilateral optic nerve hypoplasia frequently have a wide range and common occurrence of concomitant neurologic, endocrine, and systemic abnormalities. (J Child Neurol 2006;21:949—956; DOI 10.2310/7010.2006.00241).
Databáze: OpenAIRE