Ophthalmology Department, Gradenigo Hospital, Cso R Margherita 8, 10153 Turin, Italy.
Neurol Sci. 2009 Dec;30(6):447-52. doi: 10.1007/s10072-009-0137-4. Epub 2009 Sep 25.
Visual aura is the most common feature associated with migraine, though it can occur separately. In both cases it often represents a dramatic event, especially for patients who experience it for the first time. Besides, its subjective characteristics may illuminate on the functional architecture of the visual cortex. Repetitive events of migraine and visual aura have been suggested to affect the visual system in the long run, both on the cortical and precortical level. In effect, objective investigation of visual functions in patients support the idea that a selective damage does occur, so that more attention to visual examination seems to be justified. In this paper, subjective and psychophysical aspects of visual aura are examined, lastly highlighting and discussing the interesting correlations found between this condition and normal-tension glaucoma.
视觉先兆是偏头痛最常见的特征,尽管它也可能单独发生。在这两种情况下,它通常代表一个戏剧性的事件,特别是对于首次经历它的患者。此外,它的主观特征可能阐明视觉皮层的功能结构。偏头痛和视觉先兆的反复发作被认为会长期影响视觉系统,无论是在皮质和皮质前水平。实际上,对患者视觉功能的客观研究支持了确实会发生选择性损伤的观点,因此更关注视觉检查似乎是合理的。本文检查了视觉先兆的主观和心理物理方面,最后强调并讨论了这种情况与正常眼压性青光眼之间发现的有趣相关性。