{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:51:14Z","timestamp":1789671074295,"version":"4.0.1"},"reference-count":16,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The indication for surgical optic canal decompression (OCD) for traumatic optic neuropathy (TON) remains controversial because there is no reliable predictor of a good outcome. We report the case of a blind patient with TON whose remaining visual-evoked potential (VEP) suggested recovery potential of the injured optic nerve after OCD.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 48-year-old man had fallen from a height of 7 m, striking his head. He immediately complained of right-eye blindness. He had no light perception and the direct light reflex disappeared from the right pupil, although there was no fracture or traumatic lesion on computed tomography and magnetic resonance imaging. Because the amplitude of the VEP with the right eye stimulation remained unchanged, we performed the right OCD. During surgical OCD, the amplitude and latency of VEP began to improve. Finally, the visual field improved in almost all directions, and eyesight improved to 0.2.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The retained VEP activity in TON may suggest the recovery potential of the injured optic nerve, even in cases of blindness. It is possible that VEP is an indicator of aggressive treatment for TON such as OCD.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_450_2023","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T07:40:27Z","timestamp":1689320427000},"page":"245","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Visual-evoked potential predicts the efficacy of the optical canal decompression for traumatic optic nerve neuropathy showing blindness: A case report"],"prefix":"10.25259","volume":"14","author":[{"given":"Yusuke","family":"Otsu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoru","family":"Komaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Takeshige","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyohiko","family":"Sakata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohiro","family":"Morioka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,7,14]]},"reference":[{"key":"10.25259\/SNI_450_2023\/ref-1","first-page":"233","article-title":"Visual outcome in optic nerve injury patients without initial light perception","volume":"47","author":"Agarwal","year":"1999","journal-title":"Indian J Ophthalmol"},{"key":"10.25259\/SNI_450_2023\/ref-2","doi-asserted-by":"crossref","first-page":"1895","DOI":"10.1007\/s10143-021-01717-9","article-title":"Traumatic optic neuropathy: A review of current studies","volume":"45","author":"Chen","year":"2022","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_450_2023\/ref-3","doi-asserted-by":"crossref","first-page":"S80","DOI":"10.1097\/SAP.0000000000002186","article-title":"Surgical decompression or corticosteroid treatment of indirect traumatic optic neuropathy: A randomized controlled trial","volume":"84","author":"Chen","year":"2020","journal-title":"Ann Plast Surg"},{"key":"10.25259\/SNI_450_2023\/ref-4","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1007\/s00417-006-0441-0","article-title":"High-dose intravenous methylprednisolone in recent traumatic optic neuropathy; a randomized double-masked placebo-controled clinical trial","volume":"245","author":"Entezari","year":"2007","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"10.25259\/SNI_450_2023\/ref-5","first-page":"125","article-title":"Indirect traumatic optic neuropathy--visual outcome of operative and nonoperative cases","volume":"30","author":"Fujitani","year":"1986","journal-title":"Jpn J Opthalmol"},{"key":"10.25259\/SNI_450_2023\/ref-6","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4097\/kjae.2017.70.2.127","article-title":"Intraoperative monitoring of flash visual evoked potential under general anesthesia","volume":"70","author":"Hayashi","year":"2017","journal-title":"Korean J Anesthesiol"},{"key":"10.25259\/SNI_450_2023\/ref-7","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/01.IOP.0000134272.55294.4C","article-title":"Flash visual evoked potentials predict visual outcome in traumatic optic neuropathy","volume":"20","author":"Holmes","year":"2004","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"10.25259\/SNI_450_2023\/ref-8","doi-asserted-by":"crossref","first-page":"5553885","DOI":"10.1155\/2021\/5553885","article-title":"A systematic literature review on traumatic optic neuropathy","volume":"2021","author":"Karimi","year":"2021","journal-title":"J Ophthalmol"},{"key":"10.25259\/SNI_450_2023\/ref-9","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1055\/s-0040-1722632","article-title":"Traumatic optic neuropathy","volume":"82","author":"Miller","year":"2021","journal-title":"J Neurol Surg B Skull Base"},{"key":"10.25259\/SNI_450_2023\/ref-10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10633-016-9553-y","article-title":"ISCEV standard for clinical visual evoked potentials: (2016 update)","volume":"133","author":"Odom","year":"2016","journal-title":"Doc Ophthalmol"},{"key":"10.25259\/SNI_450_2023\/ref-11","first-page":"2","article-title":"Indirect traumatic optic neuropathy","volume":"3","author":"Singman","year":"2016","journal-title":"Mil Med Res"},{"key":"10.25259\/SNI_450_2023\/ref-12","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3390\/encyclopedia3010007","article-title":"Traumatic optic neuropathy: Update on management","volume":"3","author":"Siyanaki","year":"2023","journal-title":"Encyclopedia (Basel 2021)"},{"key":"10.25259\/SNI_450_2023\/ref-13","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/0039-6257(94)90145-7","article-title":"Traumatic optic neuropathy","volume":"38","author":"Steinsapir","year":"1994","journal-title":"Surv Ophthalmol"},{"key":"10.25259\/SNI_450_2023\/ref-14","doi-asserted-by":"crossref","first-page":"542","DOI":"10.21037\/atm-22-1836","article-title":"The outcome of surgical and non-surgical treatments for traumatic optic neuropathy: A comparative study of 685 cases","volume":"10","author":"Wei","year":"2022","journal-title":"Ann Transl Med"},{"key":"10.25259\/SNI_450_2023\/ref-15","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1016\/j.ophtha.2020.10.038","article-title":"Interventions for indirect traumatic optic neuropathy: A report by the American academy of ophthalmology","volume":"128","author":"Wladis","year":"2021","journal-title":"Ophthalmology"},{"key":"10.25259\/SNI_450_2023\/ref-16","first-page":"CD005024","article-title":"Surgery for traumatic optic neuropathy","volume":"6","author":"Yu-Wai-Man","year":"2013","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/visual-evoked-potential-predicts-the-efficacy-of-the-optical-canal-decompression-for-traumatic-optic-nerve-neuropathy-showing-blindness-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/visual-evoked-potential-predicts-the-efficacy-of-the-optical-canal-decompression-for-traumatic-optic-nerve-neuropathy-showing-blindness-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T07:40:40Z","timestamp":1689320440000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/visual-evoked-potential-predicts-the-efficacy-of-the-optical-canal-decompression-for-traumatic-optic-nerve-neuropathy-showing-blindness-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,14]]},"references-count":16,"alternative-id":["10.25259\/SNI_450_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_450_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7,14]]},"article-number":"245"}}