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[一例与双侧白质顶枕叶病变相关的双侧手部全视野视觉运动性共济失调病例]

[A case of whole visual field visuomotor ataxia of bilateral hands associated with bilateral parietooccipital lesions in the white matter].

作者信息

Nakamura R, Kamakura K, Bando M, Tsuchiya K, Nagata N

机构信息

Third Department of Internal Medicine, National Defense Medical College.

出版信息

Rinsho Shinkeigaku. 1991 Jul;31(7):760-4.

PMID:1786663
Abstract

A 29-year-old male with visuomotor ataxia was reported. Visuomotor ataxia of bilateral upper extremities was noted in whole visual field including central visual field (optische Ataxie). Neither contraction nor depression of visual field was detected by the test using kinetic or static perimeter, respectively. Magnetic resonance imaging and computed tomography of the brain revealed bilateral parietooccipital lesions in the white matter, and pathological examination of brain biopsy specimen demonstrated demyelination. We considered that bilateral parietooccipital lesions in the white matter were responsible for visuomotor ataxia in this case.

摘要

报告了一名29岁患有视动性共济失调的男性。在包括中央视野在内的整个视野中均发现双侧上肢视动性共济失调(视觉性共济失调)。分别使用动态或静态视野计检查均未检测到视野收缩或缺损。脑部磁共振成像和计算机断层扫描显示双侧顶枕叶白质病变,脑活检标本的病理检查显示脱髓鞘。我们认为该病例中双侧顶枕叶白质病变是导致视动性共济失调的原因。

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