Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy

doi:10.1016/j.clineuro.2015.04.023

CORC > 兰州大学 > 兰州大学 > 第二临床医学院 > 期刊论文

	Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy
	He, ZH; Li, Q; Yuan, JM; Zhang, XD; Gao, RP; Han, YM; Yang, WZ; Shi, XF; Lan, ZB; He, ZH (reprint author), Lanzhou Univ, Hosp 2, Dept Neurosurg, Lanzhou 730030, Gansu, Peoples R China.
刊名	CLINICAL NEUROLOGY AND NEUROSURGERY
	2015-07
卷号	134 页码:130-135
关键词	Traumatic optic neuropathy Transcranial decompression of optic canal Pterional transsylvian approach Visual evoked potential Operative time
ISSN号	0303-8467
DOI	10.1016/j.clineuro.2015.04.023
文献子类	Article
英文摘要	Purpose: Traumatic optic neuropathy (TON) is a serious complication of head trauma, with the incidence rate ranging from 0.5% to 5%. The two treatment options widely practiced for TON are: (i) high-dose corticosteroid therapy and (ii) surgical decompression. However, till date, there is no consensus on the treatment protocol. This study aimed to evaluate the therapeutic efficacy of transcranial decompression of optic canal in TON patients. Methods: A total of 39 patients with visual loss resulting from TON between January 2005 and June 2013 were retrospectively reviewed for preoperative vision, preoperative image, visual evoked potential (VEP), surgical approach, postoperative visual acuity, complications, and follow-up results. Results: All these patients underwent transcranial decompression of optic canal. During the three-month follow-up period, among the 39 patients, 21 showed an improvement in their eyesight, 6 recovered to standard logarithmic visual acuity chart "visible," 10 could count fingers, 2 could see hand movement, and 3 regained light sensation. Conclusion: Visual evoked potential could be used as an important preoperative and prognostic evaluation parameter for TON patients. Once TON was diagnosed, surgery is a promising therapeutic option, especially when a VEP wave is detected, irrespective of the HRCT scan findings. Operative time between trauma and operation is not necessary reference to assess the therapeutic effect of surgical decompression. The poor results of this procedure may be related to the severity of optic nerve injury. The patient's age is an important factor affecting the surgical outcomes. (C) 2015 Elsevier B.V. All rights reserved.
学科主题	Neurosciences & Neurology ; Surgery
出版地	AMSTERDAM
资助项目	国家自然科学基金项目 ; 中国博士后科学基金 ; 甘肃省青年科技基金计划
项目编号	China Postdoctoral Science Foundation [2013M542395] ; Natural Science Foundation Project of Gansu Province [S(145RJYA256)]
语种	英语
WOS记录号	WOS:000356550300024
资助机构	NSFC ; CPSF ; GSSTD
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/179369]
专题	第二临床医学院_期刊论文
通讯作者	He, ZH (reprint author), Lanzhou Univ, Hosp 2, Dept Neurosurg, Lanzhou 730030, Gansu, Peoples R China.
推荐引用方式 GB/T 7714	He, ZH,Li, Q,Yuan, JM,et al. Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy[J]. CLINICAL NEUROLOGY AND NEUROSURGERY,2015,134:130-135.
APA	He, ZH.,Li, Q.,Yuan, JM.,Zhang, XD.,Gao, RP.,...&He, ZH .(2015).Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy.CLINICAL NEUROLOGY AND NEUROSURGERY,134,130-135.
MLA	He, ZH,et al."Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy".CLINICAL NEUROLOGY AND NEUROSURGERY 134(2015):130-135.