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作者报告一例甲状旁腺机能减退患者发生单例视神经炎,并复习有关文献,分析其发生的原因。患者女性61岁,1954年因毒性甲状腺肿作了甲状腺次全切除术。1972年出现痛性痉挛,低血钙,经钙剂治疗迅速解除。1974年出现两次发作意识丧失,双手轻度粗大震颤,书写困难。其时,头颅X线正常,无基底神经节钙化,脑扫描正常,脑电图明显异常,血钙6.1毫克%,治疗一个月后血钙仍为6.9毫克%。1975年一月右眼视力模糊,该眼鼻侧下部视野缩小,有一浓厚的中心盲点暗点,视盘边缘模糊,轻度隆起,色泽稍淡,动脉狭窄,视网膜水肿伸向黄斑且黄斑呈星芒状改变。萤光素血管造影
The authors report a case of single-case optic neuritis in patients with hypoparathyroidism and review the literature to analyze its causes. Female patient 61 years old, 1954 due to toxic goiter subtotal thyroidectomy. Painful cramps in 1972, hypocalcemia, the rapid elimination of calcium treatment. In 1974, there were two episodes of loss of consciousness, his hands trembling mild mild, writing difficulties. At that time, skull X-ray normal, no basal ganglia calcification, normal brain scans, EEG abnormalities significantly, serum calcium 6.1 mg%, one month after treatment of calcium is still 6.9 mg%. January 1975 blurred vision of the right eye, the lower eye nasal side of the lower field of vision, there is a thick center blind spots dark spots, blurred edge of the optic disc, slightly elevated, slightly pale color, stenosis, retinal edema and macular flares were star Shape change. Fluorescein angiography