Hartmann J A, Wolz W A, Roeltgen D P, Loverso F L
Department of Neurology, Hahnemann University, Philadelphia, PA 19102.
Brain Cogn. 1991 May;16(1):29-40. doi: 10.1016/0278-2626(91)90083-k.
An adult with the diagnosis of cortical blindness, complaining of a complete visual loss of 2 years in duration, was found to have a small preserved visual field and remarkably preserved visual abilities. Although denying visual perception, he correctly named objects, colors, and famous faces, recognized facial emotions, and read various types of single words with greater than 50% accuracy when presented in the upper right visual field. Upon confrontation regarding his apparent visual abilities, the patient continued to deny visual perceptual awareness, typically stating "I feel it." CT indicated bioccipital lesions sparing the left inferior occipital area but involving the left parietal lobe. The denial of visual perception evidenced by this patient may be explained by a disconnection of parietal lobe attentional systems from visual perception. The clinical presentation is described as representing "inverse Anton's syndrome."
一名被诊断为皮质盲的成年人,主诉有持续2年的完全性视力丧失,但其仍保留一小部分视野且视觉能力显著保留。尽管否认有视觉感知,但他能正确说出物体、颜色和名人面孔的名称,识别面部表情,并且当单词呈现在右上视野时,他能以超过50%的准确率读出各种类型的单字。当面对其明显的视觉能力时,该患者继续否认有视觉感知意识,通常称“我感觉到了”。CT显示双侧枕叶病变,未累及左侧枕叶下部区域,但累及左侧顶叶。该患者所表现出的视觉感知否认现象,可能是由于顶叶注意力系统与视觉感知之间的联系中断所致。这种临床表现被描述为“反安托万综合征”。