急性胰腺炎期间双侧外侧膝状体脱髓鞘罕见病例中的可逆性严重双侧视力丧失
Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis.
作者信息
Viloria Alejandro, Jimenez Beatriz, Palacín Marta
机构信息
Department of Neurology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Department of Ophthalmology, Hospital Ernest Lluch, Calatayud, Spain.
出版信息
BMJ Case Rep. 2015 Dec 30;2015:bcr2015212409. doi: 10.1136/bcr-2015-212409.
A 40-year-old man was diagnosed with pancreatitis following cholecystectomy. During hospitalisation, he reported bilateral acute vision loss. His best-corrected visual acuity (BCVA) was counting fingers in the right eye and 20/200 in the left eye. Ocular fundus examination and optical coherence tomography revealed a slight alteration in the retinal nerve fibres in the nasal macular region. Automated perimetry revealed bilateral visual field defects affecting both temporal and nasal hemifields in a predominantly nasal distribution, and brain MRI confirmed symmetrical lesions within both lateral geniculate nuclei. BCVA was gradually recovered, reaching 20/20 within 6 weeks.
一名40岁男性在胆囊切除术后被诊断为胰腺炎。住院期间，他报告双眼急性视力丧失。他的最佳矫正视力（BCVA）右眼为指数，左眼为20/200。眼底检查和光学相干断层扫描显示鼻侧黄斑区视网膜神经纤维有轻微改变。自动视野检查显示双侧视野缺损，主要影响双侧颞侧和鼻侧半视野，且以鼻侧分布为主，脑部MRI证实双侧外侧膝状核内有对称病变。BCVA逐渐恢复，6周内达到20/20。
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