双侧上垂直性偏盲：错失目标，却击中中风病因。

Bilateral superior altitudinal hemianopia: missing the goal, but hitting the stroke cause.

机构信息

Department of Neurology, Klinikum Traunstein, Germany.

出版信息

J Stroke Cerebrovasc Dis. 2010 Mar;19(2):165-6. doi: 10.1016/j.jstrokecerebrovasdis.2009.03.018.

DOI:10.1016/j.jstrokecerebrovasdis.2009.03.018

PMID:20189094

Abstract

Bilateral superior altitudinal hemianopia is an uncommon clinical presentation of ischemic stroke. We report a patient who had an ischemic stroke with a pure bilateral superior altitudinal hemianopia resulting from bilateral ischemia in the optic radiation. This symptom was first overlooked and a delusion was suspected. A thorough clinical examination is essential to avoid any misdiagnosis or to overlook correct treatment.

摘要

双侧上垂直性偏盲是缺血性卒中的一种不常见的临床表现。我们报告了一例患者，由于视辐射双侧缺血导致单纯性双侧上垂直性偏盲发生缺血性卒中。该症状最初被忽视，并怀疑是妄想。彻底的临床检查对于避免误诊或忽略正确治疗至关重要。