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后皮质萎缩中视觉功能障碍的神经机制

Neural Mechanisms of Visual Dysfunction in Posterior Cortical Atrophy.

作者信息

Chen Yi, Liu Ping, Wang Yunyun, Peng Guoping

机构信息

Department of Neurology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Neurology, Shengzhou People's Hospital, Shengzhou, China.

出版信息

Front Neurol. 2019 Jun 25;10:670. doi: 10.3389/fneur.2019.00670. eCollection 2019.

Abstract

Posterior cortical atrophy (PCA) is characterized predominantly by visual dysfunction that arises from bilateral impairments in occipital, parietal, and temporal regions of the brain. PCA is clinically identified based primarily on visual symptoms and neuroimaging findings. Region-specific gray and white matter deficits have been discussed in detail, and are associated with clinical manifestations that present with similar patterns of perfusion and metabolic findings. Here, we discuss both structural and functional changes in the ventral and dorsal visual streams along with their underlying relationships. We also discuss the most recent developments in neuroimaging characteristics and summarize correlations between distinct neuroimaging presentations.

摘要

后部皮质萎缩(PCA)的主要特征是视觉功能障碍,其源于大脑枕叶、顶叶和颞叶区域的双侧损伤。PCA主要根据视觉症状和神经影像学检查结果进行临床诊断。特定区域的灰质和白质缺陷已被详细讨论,并且与具有相似灌注和代谢表现模式的临床表现相关。在此,我们讨论腹侧和背侧视觉通路的结构和功能变化及其潜在关系。我们还讨论了神经影像学特征的最新进展,并总结了不同神经影像学表现之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9548/6603128/870061c9d783/fneur-10-00670-g0001.jpg

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