Problemi speciali
Urgenze neurologiche in Pediatria: il caso della perdita acuta del visus
Neurological Emergencies in Pediatrics: acute visual loss
Agnese Suppiej
Neurologia, Neurofisiologia e Neuroftalmologia Pediatrica, Dipartimento di Salute della Donna e del Bambino, AOU di Padova
Gennaio 2018 - pagg. 42 -46
Abstract
Acute loss of vision in children is a worrying sign for both patients and physicians. In
the absence of obvious ophthalmological signs, the paediatrician is faced with the challenge
of distinguishing a functional (non-organic) disorder from potentially severe neurological
abnormality. A high clinical suspicion is important to avoid the burden of unnecessary
sophisticated diagnostic investigations. Detailed medical history with focus on
preceding stressing events and a practical clinical approach, which aims to demonstrate
physiological incongruities and that visual acuity is better than subjectively alleged, allow
early diagnosis with important prognostic implications.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. Chutorian AM. Acute loss of vision in children.
Rev Neurol 2003;36(3):264-71.
2. Lim SA, Siatkowski RM, Farris BK. Functional
visual loss in adults and children patient
characteristics, management, and outcomes.
Ophthalmology 2005;112(10):1821-8.
3. Chirapapaisan N, Borchert MS. Pediatric
optic neuritis. J Med Assoc Thai 2008;91(3):
323-30.
4. Chang MY, Pineles SL. Pediatric Optic
Neuritis. Semin Pediatr Neurol 2017;24(2):
122-8.
5. Suppiej A, Gaspa G, Cappellari A, Toldo I,
Battistella PA. The role of visual evoked potentials
in the differential diagnosis of functional
visual loss and optic neuritis in children.
J Child Neurol 2011;26(1):58-64.
6. Tekavcic-Pompe M, Stirn-Kranjc B, Brecelj
J. Optic neuritis in children - clinical and electrophysiological
follow-up. Doc Ophthalmol
2003;107(3):261-70.
7. Wynick S, Hobson RP, Jones RB. Psychogenic
disorders of vision in childhood (“visual
conversion reactions”): perspectives
from adolescence: a research note. J Child
Psychol Psychiatry 1997;38:375-9.
8. Toldo I, Pinello L, Suppiej A, et al. Nonorganic
(psychogenic) visual loss in children: a
retrospective series. J Neuro-ophthalmol
2010;30(1):26-30.
9. Chen CS, Lee AW, Karagiannis A, Crompton
JL, Selva D. Practical clinical approaches
to functional visual loss. J Clin Neurosci
2007;14(1):1-7.
10. Suppiej A. General characteristics of
evoked potentials. In: Pressler RM, Binnie
CD, Cooper R, Robinson R (Eds). Neonatal
and paediatric clinical neurophysiology. New
York: Churchill Livingstone, 2007, pag. 111-
54.
11. Renner AB, Kellner U, Tillack H, Kraus
H, Foerster MH. Recording of both VEP and
multifocal ERG for evaluation of unexplained
visual loss. Doc Ophthalmol 2005;111(3):149-
57.
12. Thompson HS. Functional visual loss. Am
J Ophthalmol 1985;100:209-13.
13. Clarke WN, Noel LP, Bariciak M. Functional
visual loss in children: a common problem
with an easy solution. Can J Ophthalmol
1996;31:311-3.
14. Kathol RG, Cox TA, Corbett JJ, Thompson
HS, Clancy J. Functional visual loss: I. A
true psychiatric disorder? Psychol Med 1983;
13:307-14.
Corrispondenza: agnese.suppiej@unipd.it