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三例眼和枕叶联合损伤后出现视幻觉的病例

Three Cases with Visual Hallucinations following Combined Ocular and Occipital Damage.

作者信息

Paradowski Bogusław, Kowalczyk Edyta, Chojdak-Łukasiewicz Justyna, Loster-Niewińska Aleksandra, Służewska-Niedźwiedź Monika

机构信息

Department of Neurology, Wroclaw Medical University, Ulica Borowska 213, 50-556 Wrocław, Poland.

出版信息

Case Rep Med. 2013;2013:450725. doi: 10.1155/2013/450725. Epub 2013 Nov 27.

DOI:10.1155/2013/450725
PMID:24376461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3860123/
Abstract

Charles Bonnet syndrome is an underrecognized disease that involves visual hallucinations in visually impaired patients. We present the cases of three patients who experienced complex visual hallucinations following various pathomechanisms. In two cases, diagnosis showed coexistence of occipital lobe damage with ocular damage, while in the third case it showed occipital lobe damage with retrobulbar optic neuritis. Theories of pathogenesis and the neuroanatomical basis of complex visual hallucinations are discussed and supported by literature review.

摘要

查尔斯·邦尼特综合征是一种未得到充分认识的疾病，涉及视力受损患者出现视幻觉。我们报告了三例因各种病理机制而经历复杂视幻觉的患者病例。在两例中，诊断显示枕叶损伤与眼部损伤并存，而在第三例中显示枕叶损伤伴有球后视神经炎。本文讨论了复杂视幻觉的发病机制理论和神经解剖学基础，并通过文献综述加以佐证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/5576d5ee1446/CRIM.MEDICINE2013-450725.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/bb8cfe770d2a/CRIM.MEDICINE2013-450725.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/aefcb8617d9c/CRIM.MEDICINE2013-450725.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/09098b3f20a3/CRIM.MEDICINE2013-450725.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/aa3dfae80082/CRIM.MEDICINE2013-450725.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/5bc28c01d062/CRIM.MEDICINE2013-450725.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/5576d5ee1446/CRIM.MEDICINE2013-450725.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/bb8cfe770d2a/CRIM.MEDICINE2013-450725.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/aefcb8617d9c/CRIM.MEDICINE2013-450725.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/09098b3f20a3/CRIM.MEDICINE2013-450725.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/aa3dfae80082/CRIM.MEDICINE2013-450725.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/5bc28c01d062/CRIM.MEDICINE2013-450725.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d0/3860123/5576d5ee1446/CRIM.MEDICINE2013-450725.006.jpg

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本文引用的文献

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Optometry. 2009 Jul;80(7):360-6. doi: 10.1016/j.optm.2008.10.017.
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Visual hallucinations: differential diagnosis and treatment.视幻觉：鉴别诊断与治疗
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Visual hallucinations during spontaneous and training-induced visual field recovery.自发及训练诱导的视野恢复过程中的视幻觉
Neuropsychologia. 2007 Jun 18;45(11):2598-607. doi: 10.1016/j.neuropsychologia.2007.03.005. Epub 2007 Mar 7.
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Complex hallucinations following occipital lobe damage.枕叶损伤后的复杂幻觉
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Brain. 1998 Oct;121 ( Pt 10):1819-40. doi: 10.1093/brain/121.10.1819.
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Hallucinations: theoretical and clinical overview.幻觉：理论与临床概述
Am J Psychiatry. 1986 Sep;143(9):1088-97. doi: 10.1176/ajp.143.9.1088.