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与脑转移瘤相关的动觉盲(视觉运动盲):病例报告。

Akinetopsia (visual motion blindness) associated with brain metastases: a case report.

机构信息

Prejudice, Vulnerability and Psychosocial Processes Laboratory, Psychology Post-Graduation Program, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Rio Grande do Sul, Ipiranga Av. 6681, Building 11 - 9th Floor - Room 933, Porto Alegre, CEP 90619-900, Brazil.

Graduate Program in Medicine and Health Sciences, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Neurol Sci. 2024 Sep;45(9):4621-4623. doi: 10.1007/s10072-024-07565-x. Epub 2024 May 1.

DOI:10.1007/s10072-024-07565-x
PMID:38691276
Abstract

Akinetopsia is a rare neurological syndrome characterized by an impaired perception of movement, often resulting from brain damage due to ischemia, epilepsy, or medication. It is also known as visual motion blindness, and patients with this condition are unable to perceive motion normally even with perfect visual acuity. This report aims to present a case of a patient in their late 40 s who developed akinetopsia and also an impairment in movement perception of objects without emitting sounds, after experiencing a late relapse of breast cancer with the occurrence of multiple brain metastases. The patient also experienced visual hallucinations, night terrors, and difficulty forming anterograde memory. Neuroimaging with MRI revealed severe brain damage, especially in the middle temporal area of the visual cortex. Akinetopsia is a rare phenomenon, and this is the first known case of its association with brain metastases.

摘要

动觉缺失是一种罕见的神经综合征,其特征是运动知觉受损,通常由缺血、癫痫或药物引起的脑损伤引起。它也被称为视觉运动盲,患有这种疾病的患者即使视力正常也无法正常感知运动。本报告旨在介绍一例 40 多岁的患者,该患者在患有乳腺癌并发生多处脑转移后出现迟发性复发,出现动觉缺失和对无声物体运动知觉的损害。该患者还经历了幻视、夜惊和形成顺行性记忆困难。MRI 神经影像学显示严重的脑损伤,特别是在视觉皮质的中颞区。动觉缺失是一种罕见的现象,这是已知的首例与脑转移瘤相关的病例。

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Akinetopsia: a systematic review on visual motion blindness.运动不能性失用症:关于视觉运动失明的系统综述。
Front Neurol. 2025 Feb 10;15:1510807. doi: 10.3389/fneur.2024.1510807. eCollection 2024.

本文引用的文献

1
Perceptual deficits in patients with impaired recognition of biological motion after temporal lobe lesions.颞叶病变后生物运动识别受损患者的知觉缺陷。
Proc Natl Acad Sci U S A. 2004 Nov 30;101(48):16947-51. doi: 10.1073/pnas.0407668101. Epub 2004 Nov 19.