Weinstein J M, Appen R E, Houston L, ZuRhein G
Department of Ophthalmology, University of Wisconsin, Madison 53792.
J Clin Neuroophthalmol. 1987 Sep;7(3):155-60.
Acute left homonymous hemianopia and recurrent scintillating scotoma occurred in a 43-year-old woman due to metastases from a cutaneous malignant melanoma that had been resected 5 years previously. Computed tomography initially demonstrated small, probably embolic, areas of occipital lobe infarction. Five months after the onset of her visual symptoms, massive cerebral hemorrhage occurred from a large right occipital lobe tumor that had not been present initially. Autopsy demonstrated malignant melanoma. Visual symptoms related to tumor embolization and/or cerebral hemorrhage may be the presenting features of metastatic cutaneous malignant melanoma.
一名43岁女性因5年前切除的皮肤恶性黑色素瘤转移，出现急性左侧同向性偏盲和反复闪烁性暗点。计算机断层扫描最初显示枕叶有小的、可能为栓塞性的梗死区域。在其视觉症状出现5个月后，最初并不存在的右侧枕叶大肿瘤发生大量脑出血。尸检显示为恶性黑色素瘤。与肿瘤栓塞和/或脑出血相关的视觉症状可能是转移性皮肤恶性黑色素瘤的首发特征。
