Cho Jun Hyung, Ahn Jung Yong, Byeon Suk Ho, Huh Ji Soon
Brain Research Institute, Yonsei University College of Medicine--Department of Neurosurgery, Seoul, Korea.
Headache. 2008 Jan;48(1):153-5. doi: 10.1111/j.1526-4610.2007.00913.x. Epub 2007 Sep 12.
A 59-year-old Asian woman suffered from a TCH followed by sudden, binocular blurred vision, mimicking pituitary apoplexy. The diagnostic workup (including fluorescein angiography, MRI of the brain, and CSF analysis) showed severe optic disc swelling and dye leakage of multiple faint hyperfluorescent spots at retinal pigment epithelium level, diffuse pachymeningeal hypertrophy, and monocytic pleocytosis, respectively. VKH disease should be considered in the differential diagnosis of patients presenting with a TCH followed by sudden, bilateral decreased visual acuity.
一名59岁的亚洲女性先是出现了头痛、呕吐及意识障碍（TCH），随后突然出现双眼视力模糊，类似垂体卒中。诊断检查（包括荧光素血管造影、脑部磁共振成像和脑脊液分析）分别显示严重的视盘肿胀、视网膜色素上皮层多个微弱高荧光斑点的染料渗漏、弥漫性硬脑膜肥厚和单核细胞增多。对于出现头痛、呕吐及意识障碍后突然双侧视力下降的患者，在鉴别诊断时应考虑交感性眼炎（VKH病）。
