Optic nerve decompression for osteopetrosis in early childhood
Visual failure in osteopetrosis may result from retinal degeneration or compression of the optic nerve in the narrowed optic canals. We report the evaluation and treatment of five children with osteopetrosis whose optic nerve dysfunction seems to have been related to the latter etiology. Evaluation...
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Veröffentlicht in: | Neurosurgery 1988-10, Vol.23 (4), p.470-475 |
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creator | HAINES, S. J ERICKSON, D. L WIRTSCHAFTER, J. D |
description | Visual failure in osteopetrosis may result from retinal degeneration or compression of the optic nerve in the narrowed optic canals. We report the evaluation and treatment of five children with osteopetrosis whose optic nerve dysfunction seems to have been related to the latter etiology. Evaluation of visual function was carried out by means of behavioral observation and flash visual evoked responses. Of six nerves evaluated both pre- and postoperatively, the visual evoked responses seemed to improve in four. Three nerves were serially evaluated without an operation, and one showed changes consistent with maturation. One nerve was evaluated with serial postoperative evoked potentials and showed no change. We conclude that surgical decompression of the optic nerve in patients with documented optic nerve dysfunction and osteopetrosis allows improvement in visual function and is, therefore, an important consideration in the evaluation and management of patients with this disease. |
doi_str_mv | 10.1227/00006123-198810000-00011 |
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We conclude that surgical decompression of the optic nerve in patients with documented optic nerve dysfunction and osteopetrosis allows improvement in visual function and is, therefore, an important consideration in the evaluation and management of patients with this disease.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/00006123-198810000-00011</identifier><identifier>PMID: 3200377</identifier><identifier>CODEN: NRSRDY</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Age Factors ; Biological and medical sciences ; Child, Preschool ; Diseases of the osteoarticular system ; Evoked Potentials, Visual ; Female ; Humans ; Infant ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Optic Nerve Diseases - etiology ; Optic Nerve Diseases - physiopathology ; Optic Nerve Diseases - surgery ; Osteopetrosis - complications ; Osteopetrosis - diagnostic imaging ; Tomography, X-Ray Computed</subject><ispartof>Neurosurgery, 1988-10, Vol.23 (4), p.470-475</ispartof><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-d0aa3440872f8b7154a316961a92c5090eb6722a85fd9cf942a227579facd9a63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7123337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3200377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HAINES, S. J</creatorcontrib><creatorcontrib>ERICKSON, D. L</creatorcontrib><creatorcontrib>WIRTSCHAFTER, J. D</creatorcontrib><title>Optic nerve decompression for osteopetrosis in early childhood</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Visual failure in osteopetrosis may result from retinal degeneration or compression of the optic nerve in the narrowed optic canals. We report the evaluation and treatment of five children with osteopetrosis whose optic nerve dysfunction seems to have been related to the latter etiology. Evaluation of visual function was carried out by means of behavioral observation and flash visual evoked responses. Of six nerves evaluated both pre- and postoperatively, the visual evoked responses seemed to improve in four. Three nerves were serially evaluated without an operation, and one showed changes consistent with maturation. One nerve was evaluated with serial postoperative evoked potentials and showed no change. We conclude that surgical decompression of the optic nerve in patients with documented optic nerve dysfunction and osteopetrosis allows improvement in visual function and is, therefore, an important consideration in the evaluation and management of patients with this disease.</description><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Evoked Potentials, Visual</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Optic Nerve Diseases - etiology</subject><subject>Optic Nerve Diseases - physiopathology</subject><subject>Optic Nerve Diseases - surgery</subject><subject>Osteopetrosis - complications</subject><subject>Osteopetrosis - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kNtKAzEQhoMotVYfQciFeLea0-ZwI0jxBIXeKHgX0mxCI7ubNdkKfXtTWxsShmH-f2byAQAxusOEiHtUDseEVlhJiXdZVR7GJ2CKa8Iqhhg6BVOEmayo4p_n4CLnr6LgTMgJmFCCEBViCh6Wwxgs7F36cbBxNnZDcjmH2EMfE4x5dHFwY4o5ZBh66Exqt9CuQ9usY2wuwZk3bXZXhzgDH89P7_PXarF8eZs_LipLqRqrBhlDGUNSEC9XAtfMUMwVx0YRWyOF3IoLQoysfaOsV4yY8staKG9sowynM3C77zuk-L1xedRdyNa1reld3GQtZC14uUUo90JbVs7JeT2k0Jm01RjpHTr9j04f0ek_dMV6fZixWXWuORoPrEr95lA32ZrWJ9PbkI8yUXpSKugvg091cg</recordid><startdate>19881001</startdate><enddate>19881001</enddate><creator>HAINES, S. J</creator><creator>ERICKSON, D. L</creator><creator>WIRTSCHAFTER, J. D</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19881001</creationdate><title>Optic nerve decompression for osteopetrosis in early childhood</title><author>HAINES, S. J ; ERICKSON, D. L ; WIRTSCHAFTER, J. D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-d0aa3440872f8b7154a316961a92c5090eb6722a85fd9cf942a227579facd9a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Evoked Potentials, Visual</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Optic Nerve Diseases - etiology</topic><topic>Optic Nerve Diseases - physiopathology</topic><topic>Optic Nerve Diseases - surgery</topic><topic>Osteopetrosis - complications</topic><topic>Osteopetrosis - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAINES, S. J</creatorcontrib><creatorcontrib>ERICKSON, D. L</creatorcontrib><creatorcontrib>WIRTSCHAFTER, J. 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D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optic nerve decompression for osteopetrosis in early childhood</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1988-10-01</date><risdate>1988</risdate><volume>23</volume><issue>4</issue><spage>470</spage><epage>475</epage><pages>470-475</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><coden>NRSRDY</coden><abstract>Visual failure in osteopetrosis may result from retinal degeneration or compression of the optic nerve in the narrowed optic canals. We report the evaluation and treatment of five children with osteopetrosis whose optic nerve dysfunction seems to have been related to the latter etiology. Evaluation of visual function was carried out by means of behavioral observation and flash visual evoked responses. Of six nerves evaluated both pre- and postoperatively, the visual evoked responses seemed to improve in four. Three nerves were serially evaluated without an operation, and one showed changes consistent with maturation. One nerve was evaluated with serial postoperative evoked potentials and showed no change. We conclude that surgical decompression of the optic nerve in patients with documented optic nerve dysfunction and osteopetrosis allows improvement in visual function and is, therefore, an important consideration in the evaluation and management of patients with this disease.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>3200377</pmid><doi>10.1227/00006123-198810000-00011</doi><tpages>6</tpages></addata></record> |
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subjects | Age Factors Biological and medical sciences Child, Preschool Diseases of the osteoarticular system Evoked Potentials, Visual Female Humans Infant Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Optic Nerve Diseases - etiology Optic Nerve Diseases - physiopathology Optic Nerve Diseases - surgery Osteopetrosis - complications Osteopetrosis - diagnostic imaging Tomography, X-Ray Computed |
title | Optic nerve decompression for osteopetrosis in early childhood |
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