视觉诱发电位在评价眶周血管瘤中的价值

作     者：Ioannidis A.S Liasis A Syed S. K.K. Nischal 桑延智 

作者机构：Department of Ophthalmology Great Ormond Street Hospital for Children Great Ormond Street London WC1N3JH United Kingdom 

出 版 物：《世界核心医学期刊文摘(眼科学分册)》 (Digest of the World Core Medical Journals)

年 卷 期：2006年第3期

页      面：11-12页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：血管瘤 血管肿瘤 视觉诱发电位 

摘      要：PURPOSE: To present a case of a child with an extensive facial hemangioma in whom the suspicion of intracranial involvement was raised by visual evoked potential (VEP) evaluation. DESIGN: Observational case report. METHODS: VEP analysis was performed using flash and pattern stimuli to determine whether treatment intervention other than occlusion therapy was needed. RESULTS: VEP analysis indicate d a marked transoccipital asymmetry in the flash and pattern VEP suggestive of r ight hemispheric dysfunction. Neuroimaging showed intracranial extension of the hemangioma. CONCLUSION: The VEP evaluation is a noninvasive technique performed in the awake child. This case highlights the usefulness of VEP analysis in the m anagement of extensive periocular capillary hemangiomas and its use as a modalit y to identify potential intracranial involvement. Large plaquelike facial capill ary hemangiomas may have possible underlying dural involvement suggestive of PHA CES syndrome.