Neurology:双侧对称性弧形视野缺损

2018-06-17 杨中华 脑血管病及重症文献导读

48岁,男性。心肺复苏后出现管状视野。

48岁,男性。

心肺复苏后出现管状视野。

Goldmann视敏度分析显示双侧同向对称性偏盲,中心及双侧颞叶弧形视野缺损(下图)。

下图,患者心肺复苏6个月后Goldmann视野检查发现双侧中心及颞叶弧形视野缺损:



眼底检查正常,MRI显示双侧后分水岭梗死(bilateral posterior watershed infarctions)(下图)。

下图,心肺复苏3天后轴位DWI(A图)、ADC(B图)、T2(C图)和冠状位Flair(D图)MRI发现双侧距状裂皮质异常信号:



原始出处:
Daniel Josef Lindegger, et al. Mystery Case:Bilateral temporal crescent sparing after cardiac arrest. Neurology. 2018 May 29;90(22):1035-1036.doi:10.1212/WNL.0000000000005608.

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    2019-05-13 yinhl1978
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    2018-06-17 1ddf0692m34(暂无匿称)

    学习了.长知识

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