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枕叶出血后自发性视野恢复的视野检查证明

Perimetric demonstration of spontaneous visual field recovery following occipital lobe haemorrhage.

作者信息

Lin Siying, George Badie Z, Wilson-Holt Nicholas J

机构信息

Department of Ophthalmology, Royal Cornwall Hospital, Truro, UK.

出版信息

BMJ Case Rep. 2013 Aug 29;2013:bcr2013010494. doi: 10.1136/bcr-2013-010494.

DOI:10.1136/bcr-2013-010494
PMID:23988822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3761977/
Abstract

A 45-year-old patient on lifelong warfarin therapy after a metal aortic valve replacement developed a homonymous visual field defect following an occipital lobe haemorrhage. The patient received only conservative management and yet described continued improvement in her visual field defect for up to 20 months following the initial cerebral insult. We present the first conclusive illustrative documentation of visual recovery in a patient with an occipital lobe haemorrhage with sequential automated perimetric assessments over an extended period of time.

摘要

一名45岁在金属主动脉瓣置换术后接受终身华法林治疗的患者,在枕叶出血后出现同向性视野缺损。该患者仅接受了保守治疗,但自述在最初脑部损伤后的20个月内,其视野缺损持续改善。我们展示了第一份具有决定性意义的例证性文献,该文献通过长时间的连续自动视野计评估,记录了一名枕叶出血患者的视力恢复情况。

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Perimetric demonstration of spontaneous visual field recovery following occipital lobe haemorrhage.枕叶出血后自发性视野恢复的视野检查证明
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Training in cortically-blind fields confers patient-specific benefit against retinal thinning after occipital stroke.枕叶卒中后,针对皮质盲区域的训练可针对患者个体预防视网膜变薄。
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Optic Tract Shrinkage Limits Visual Restoration After Occipital Stroke.视束萎缩限制枕叶卒中后的视觉恢复。
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本文引用的文献

1
Recovery of visual-field defects after occipital lobe infarction: a perimetric study.枕叶梗死后视野缺损的恢复:一项视野计研究。
J Neurol Neurosurg Psychiatry. 2011 Jun;82(6):695-702. doi: 10.1136/jnnp.2010.214387. Epub 2010 Oct 9.
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Perimetric homonymous visual field loss post-stroke.中风后视野同向性缺损
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Homonymous hemianopia in stroke.中风所致的同向偏盲
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Natural history of homonymous hemianopia.同向性偏盲的自然病史。
Neurology. 2006 Mar 28;66(6):901-5. doi: 10.1212/01.wnl.0000203338.54323.22.
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Safety of discontinuation of anticoagulation in patients with intracranial hemorrhage at high thromboembolic risk.高血栓栓塞风险的颅内出血患者停用抗凝治疗的安全性
Arch Neurol. 2000 Dec;57(12):1710-3. doi: 10.1001/archneur.57.12.1710.
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Can visual function be restored in patients with homonymous hemianopia?同向性偏盲患者的视觉功能能否恢复?
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Determinants of outcome of stroke rehabilitation.
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Isolated homonymous hemianopia. A review of 104 cases.孤立性同向偏盲。104例病例回顾。
Arch Ophthalmol. 1973 May;89(5):377-81. doi: 10.1001/archopht.1973.01000040379005.
10
Recovery of visual fields in acute stroke: homonymous hemianopia associated with adverse prognosis.急性卒中患者视野的恢复:同向性偏盲与不良预后相关。
Age Ageing. 1989 Nov;18(6):419-21. doi: 10.1093/ageing/18.6.419.