可逆性高血糖性同向性偏盲

Reversible hyperglycemic homonymous hemianopia.

作者信息

Mitchell John P, Yancy Asha, Saint Louis Leslie, Rosberger Daniel F

机构信息

Department of Ophthalmology, New York-Presbyterian Hospital, New York, New York 10030, USA.

出版信息

J Natl Med Assoc. 2009 Apr;101(4):373-6. doi: 10.1016/s0027-9684(15)30888-9.

DOI:10.1016/s0027-9684(15)30888-9

PMID:19397231

Abstract

We report a 67-year-old female diabetic with homonymous hemianopia as the presenting sign of nonketotic hyperglycemia. Magnetic resonance imaging (MRI) was abnormal with diffuse bilateral hyperintense white matter changes. A follow-up MRI scan 15 years later showed persisting abnormality. Her hemianopic visual field loss was reversed after correction of her hyperglycemia. Diabetes mellitus should be considered with the sudden onset of a homonymous hemianopia.

摘要

我们报告了一名67岁的女性糖尿病患者，其以同向性偏盲作为非酮症高血糖的首发症状。磁共振成像（MRI）显示异常，双侧白质弥漫性高信号改变。15年后的随访MRI扫描显示异常持续存在。她的高血糖得到纠正后，同向性偏盲视野缺损得以逆转。对于突然出现同向性偏盲的情况，应考虑糖尿病。