巨细胞动脉炎患者额叶梗死伴视幻觉一例。

A Case of Visual Hallucination With Frontal Lobe Infarction in a Patient With Giant Cell Arteritis.

作者信息

Shimura Mai, Fujikawa Hirohisa, Suda Masei, Muranaka Kiyoharu, Minoda Masahiro

机构信息

Department of Internal Medicine, Suwa Central Hospital, Nagano, JPN.

Department of Medical Oncology, National Cancer Center Hospital East, Chiba, JPN.

出版信息

Cureus. 2023 Jul 10;15(7):e41659. doi: 10.7759/cureus.41659. eCollection 2023 Jul.

DOI:10.7759/cureus.41659

PMID:37575842

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10412741/

Abstract

Giant cell arteritis (GCA) can produce a variety of visual symptoms. Among these, visual hallucinations are rare and are usually accompanied by visual loss. We encountered a 79-year-old female with GCA who presented with visual hallucinations without visual loss. Magnetic resonance imaging (MRI) of the head revealed a stroke in the right frontal lobe, probably caused by GCA, resulting in visual hallucinations. Visual hallucinations are not well recognized by clinicians as a presentation of GCA. However, as shown in the present case, visual hallucinations are an important symptom because they are suggestive of cerebral ischemia or visual loss.

摘要

巨细胞动脉炎（GCA）可产生多种视觉症状。其中，视幻觉较为罕见，通常伴有视力丧失。我们遇到一位79岁的GCA女性患者，她出现视幻觉但无视力丧失。头部磁共振成像（MRI）显示右侧额叶中风，可能由GCA引起，导致视幻觉。临床医生并未充分认识到视幻觉是GCA的一种表现。然而，如本病例所示，视幻觉是一个重要症状，因为它们提示脑缺血或视力丧失。