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发作性眼球震颤后的皮质盲

Cortical blindness following ictal nystagmus.

作者信息

Ramani V

出版信息

Arch Neurol. 1985 Feb;42(2):191-2. doi: 10.1001/archneur.1985.04060020109025.

DOI:10.1001/archneur.1985.04060020109025
PMID:3977648
Abstract

Both ictal nystagmus and cortical blindness may occur transiently in acute cerebral disorders and therefore escape clinical detection, particularly in confused, agitated patients. The following case report describes a young woman with chronic myelogenous leukemia who became progressively ill following bone marrow transplantation. During the course of her illness, acute ictal nystagmus developed from focal right occipital ischemia; postictally she remained cortically blind with possible visual hallucinations for 48 hours.

摘要

发作性眼球震颤和皮质盲在急性脑部疾病中可能会短暂出现,因此容易漏诊,尤其是在意识模糊、烦躁不安的患者中。以下病例报告描述了一名患有慢性粒细胞白血病的年轻女性,她在骨髓移植后病情逐渐加重。在患病过程中,因右侧枕叶局灶性缺血出现了急性发作性眼球震颤;发作后她持续皮质盲,并伴有可能的视幻觉,持续了48小时。

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引用本文的文献

1
Epileptic nystagmus: A case report and systematic review.癫痫性眼球震颤:一例病例报告及系统综述
Epilepsy Behav Case Rep. 2014 Sep 18;2:156-60. doi: 10.1016/j.ebcr.2014.08.004. eCollection 2014.
2
Epileptic nystagmus: two case reports, clinical and pathophysiological review of the literature.癫痫性眼球震颤:两例报告及文献的临床与病理生理学综述
J Neurol. 2006 Jun;253(6):767-71. doi: 10.1007/s00415-006-0114-2. Epub 2006 Mar 6.