Kwong Yew Kiu, Abdul Halim Sanihah, Liza-Sharmini Ahmad Tajudin, Tharakan John
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
Case Rep Ophthalmol Med. 2014;2014:795837. doi: 10.1155/2014/795837. Epub 2014 Mar 13.
Bilateral cortical blindness and Anton syndrome, are most commonly caused by ischaemic stroke. In this condition, patients have loss of vision but deny their blindness despite objective evidence of visual loss. We report a case of a patient with multiple cardiovascular risk factors who developed recurrent bilateral occipital lobe infarct with Anton syndrome. A suspicion of this condition should be raised when the patient has denial of blindness in the presence of clinical and radiological evidence of occipital lobe injury. Management of this condition should focus on the underlying cause, in which our patient requires secondary stroke prevention and rehabilitation.
双侧皮质盲和安东综合征最常见的病因是缺血性中风。在这种情况下,患者视力丧失,但尽管有视力丧失的客观证据,却否认自己失明。我们报告一例具有多种心血管危险因素的患者,该患者发生了复发性双侧枕叶梗死并伴有安东综合征。当患者在存在枕叶损伤的临床和影像学证据时否认失明,应怀疑这种情况。这种情况的治疗应关注潜在病因,我们的患者需要二级预防中风和康复治疗。