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Review
. 2022 Oct;70(10):736-742.
doi: 10.1007/s00106-022-01209-2. Epub 2022 Aug 18.

[Optic nerve decompression-state of the art]

[Article in German]
Philippe Korn  1 , Jörg Schipper  2 , Philipp Jehn  1 , Nils-Claudius Gellrich  3
Affiliations
Review

[Optic nerve decompression-state of the art]

[Article in German]
Philippe Korn et al. HNO. 2022 Oct.

Abstract
in English, German

Rarely, but often with serious consequences for the patient, the optic nerve is affected during the course of head injuries. Traumatic optic nerve compression is always an emergency situation, which is why time is of the essence for both diagnosis and treatment. Precise knowledge of this accident sequelae but also of the resulting conditions, especially in terms of traumatic optic neuropathy, is indispensable for adequate patient care. The aim of this paper is to provide an overview of this clinical picture, particularly with regard to etiology, diagnosis, and treatment options, and to discuss this in the context of the current literature.

Selten, für den Patienten jedoch oft folgenreich, kommt es im Rahmen von Kopfverletzungen zu einer Affektion des Sehnervs. Traumatische Optikuskompressionen stellen stets eine Notfallsituation dar, weshalb dem Faktor Zeit sowohl bei der Diagnostik als auch bei der Therapie wesentliche Bedeutung zukommt. Eine genaue Kenntnis dieses Unfallfolge, aber auch der daraus resultierenden Zustände, insbesondere einer traumatischen Optikusneuropathie, sind unerlässlich für eine adäquate Patientenversorgung. Ziel der vorliegenden Arbeit ist es, einen Überblick über dieses Krankheitsbild insbesondere im Hinblick auf Ätiologie, Diagnostik und Therapieoptionen zu geben sowie dies im Kontext der aktuellen Literatur zu erörtern.

Keywords: Amaurosis; Depressed skull fracture; Retrobulbar hemorrhage; Traumatic cranial nerve injuries; Traumatic optic neuropathy.

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References

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