Badakere Akshay, Chaugule Pratik, Rath Soveeta Souravee
LV Prasad Eye Institute, KAR Campus, Hyderabad, India.
Neuroophthalmology. 2017 Mar 15;41(3):159-160. doi: 10.1080/01658107.2017.1291685. eCollection 2017 Jun.
A 50-year-old male patient presented to the neuro-ophthalmology clinic with chief complaints of gradual decrease in vision in both eyes, more in the left eye, for 6 years. On general examination, the patient had a hemiplegic gait. His presenting acuity was 20/50 in the right eye and 20/320 in the left eye, not improving further. He had dense posterior subcapsular cataracts in both eyes, and fundus examination revealed pale discs. Humphrey visual field tests 30-2 revealed a vertical nasal midline defect in the right eye and grossly depressed fields in the left eye. Keeping in mind the above findings, the authors requested for a magnetic resonance imaging (MRI) of the brain. The brain MRI shows a large infarct in the right parieto-occipital lobe and a small circumscribed lesion in the left cerebellum. The radiologist opined that it could possibly be a gangliocytoma of the cerebellum, and a possible diagnosis of Lhermitte-Duclos syndrome was made.
一名50岁男性患者因双眼视力逐渐下降（左眼更明显）6年就诊于神经眼科门诊。全身检查时，患者有偏瘫步态。其就诊时右眼视力为20/50，左眼视力为20/320，且无进一步改善。双眼均有致密的后囊下白内障，眼底检查显示视盘苍白。Humphrey视野检查30-2显示右眼有垂直性鼻侧中线缺损，左眼视野严重压低。考虑到上述检查结果，作者要求对脑部进行磁共振成像（MRI）检查。脑部MRI显示右侧顶枕叶有一大面积梗死灶，左侧小脑有一小的局限性病变。放射科医生认为可能是小脑神经节细胞瘤，并做出了可能为Lhermitte-Duclos综合征的诊断。
