From the Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC.
Neurology. 2014 Apr 15;82(15):e129-33. doi: 10.1212/WNL.0000000000000308.
A 32-year-old woman with a history of bipolar disorder, polycystic ovarian syndrome, and hypertension and a 4-year history of uncontrolled type 2 diabetes mellitus (DM) presented with bifrontal headache, elevated blood sugars (>500 mg/dL), and abrupt-onset left homonymous hemianopia upon awakening. Vital signs included temperature 98.0°F, blood pressure 160/89 mm Hg, and heart rate 67 bpm. Neurologic examination showed dense left homonymous hemianopia with macular sparing and without other focal findings.
一位 32 岁女性，既往有双相情感障碍、多囊卵巢综合征和高血压病史，且患有 4 年未控制的 2 型糖尿病（DM），因双额部头痛、血糖升高（＞500mg/dL）和觉醒后突发左侧同向性偏盲就诊。生命体征包括体温 98.0°F、血压 160/89mmHg 和心率 67 次/分。神经系统检查显示左侧致密性同向性偏盲，伴有黄斑回避，无其他局灶性发现。
