Kölmel H W
Abteilung Neurologie, Klinikum Charlottenburg, Freie Universität Berlin.
J Neurol. 1987 Oct;235(1):22-5. doi: 10.1007/BF00314192.
Of 230 patients with homonymous visual field defects of central origin, 3 had paracentral scotomas. All complained of severe photophobia and difficulty in reading. Two patients suspected that the scotoma had developed as a result of glare; the visual disorder resolved in these cases, but persisted in the third patient. With the exception of the visual field defect defined by perimetry, no neurological or neuropsychological deficit were found. The scotomas was attributed to generalized cerebral hypoxia in two cases but remained undefined in the third patient. A lesion in the striate region was suspected, but imaging procedures did not show any abnormalities.
在230例中枢性起源的同侧视野缺损患者中，3例有旁中心暗点。所有患者均主诉有严重畏光及阅读困难。2例患者怀疑暗点是由眩光所致；这2例患者的视觉障碍得以缓解，但第3例患者的症状持续存在。除视野计所确定的视野缺损外，未发现神经学或神经心理学方面的缺陷。2例患者的暗点归因于全身性脑缺氧，但第3例患者的病因仍不明确。怀疑纹状区有病变，但影像学检查未显示任何异常。
