Of complex craniofacial trauma brain injury caused by optic nerve injury in 5 cases of misdiagnosis.doc

 PAGE \* MERGEFORMAT 7 Of complex craniofacial trauma brain injury caused by optic nerve injury in 5 cases of misdiagnosis [Keywords:] of complex craniofacial trauma Treatment in our department since 2004, complex craniofacial trauma, brain injury caused by optic nerve injury patients, 5 cases transferred by the brain surgery, due to various reasons are not timely detection, treatment, to blinding eye injury, clinical data now reported below. A medical record Example 1, the patient, male, 22 years old, head and facial injuries in a car accident stay Erzhi brain surgery. A clinical diagnosis of head and face trauma, brain contusion, skull fracture. Coma, lethargy 5 days. Sober look at things but not found the right eye. consultation examination, right eye visual acuity was 0. IOP. right eyelid edema, skin congestion, eye movements can still be. subconjunctival hemorrhage sheet, transparent cornea, dilated pupils, a diameter of about 5.0 mm, direct light reflex, there is indirect light reflex. fundus examination was normal. proposed line eyes CT. Results Report: the right superior orbital wall and the ethmoid bone fractures, sinus fluid, optic nerve thickening. optic tube display is unclear, do not further optic canal CT. diagnosed as right eye contusion, optic nerve contusion, and into our department treatment. give positive dehydration, hormones, nutrition, nerves, microcirculation .2 weeks after symptomatic treatment, visual acuity did not recover, giving up treatment. Example 2, the patient, male, 40 years old. By accident and the “head and face injuries, severe brain contusion, skull fracture, epidural hematoma,” Income brain surgery. Coma 1 Zhou Houqing wake up, the left eye as things but the readme. Consultation Check: left eye 0. left eyelid edema, skin congestion, eye movements due to flexibility, conjunctival edema, subconjunctival hemorrhage flaky, yet made clear cornea, anterior chamber is normal. pupil round, scattered about 6.0 mm, di