Department of Neurology, NorthShore University HealthSystem, Chicago, Illinois, USA.
Department of Neurology, University of Chicago, Chicago, Illinois, USA.
Stroke Vasc Neurol. 2017 Jul 6;2(4):210-220. doi: 10.1136/svn-2017-000079. eCollection 2017 Dec.
A large portion of the central nervous system is dedicated to vision and therefore strokes have a high likelihood of involving vision in some way. Vision loss can be the most disabling residual effect after a cerebral infarction. Transient vision problems can likewise be a harbinger of stroke and prompt evaluation after recognition of visual symptoms can prevent future vascular injury. In this review, we discuss the visual aspects of stroke. First, anatomy and the vascular supply of the visual system are considered. Then, the different stroke syndromes which involve vision are discussed. Finally, topics involving the assessment, prognosis, treatment and therapeutic intervention of vision-specific stroke topics are reviewed.
中枢神经系统的很大一部分专门用于视觉,因此中风很有可能以某种方式涉及到视觉。视力丧失可能是脑梗死后最致残的残留效应。短暂的视觉问题同样也可能是中风的先兆,在识别出视觉症状后及时进行评估可以防止未来的血管损伤。在这篇综述中,我们讨论了中风的视觉方面。首先,考虑了视觉系统的解剖结构和血管供应。然后,讨论了涉及视觉的不同中风综合征。最后,回顾了与视觉特异性中风相关的评估、预后、治疗和治疗干预的主题。