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I.緒言
視神経の血液循環障害による,急性横断性視神経炎に似た症状を呈する視神経疾患は,欧米殊に欧州では早くから注目され,Pseudo-papillitesvasculaires (Francois), akute Ischämie derPapille (Siegert), Optikomalazie (Kreibig),Ischemic neuritis, Ischernic optic neuropathyischemia of the optic nerve又はischemicInfarction of the optic nerve (Wagener)などと呼ばれて報告され,近年殊に側頭動脈炎Ar—teriitis temporalisの合併症として重視されている。しかし,我が国ではこの疾患に関する報告は多いとはいえない1)2)3)4)5)。我々はRaynaud病に併発した本症の剖見例および動脈硬化を基盤とした本症の各1例を得たので報告する。
As to ischemic optic neuropathy only seven cases in five papers have been reported in Ja-pan. In the present report the authors describe 2 cases of ischemic optic neuro-pathy.
The first case was a 67-year-old man who complained of pallor and pain of fingertip of both hands. He was treated with Priscol as Rainaud's disease but no response was noted. Then periarterial sympathectomy of brachial artery of both side was performed under local anesthesia. During and after the operation blood transfusion was not performed and 500 ml of 5% glucose solution was injected. After the operation both eyes suddenly went blind.
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