Maleki M, Kirkham T H
Can J Ophthalmol. 1983 Feb;18(1):22-7.
Arteriovenous malformations (AVMs) of the brain usually present with acute hemorrhage or epilepsy. Of 54 patients with AVMs limited to the posterior cerebral hemispheres some 60% had intermittent or acute visual symptoms. Most had homonymous hemianopia. Because of the possible neurologic consequences of an AVM it is important to distinguish the headaches and visual symptoms of this lesion from those of classic migraine, a more common condition. In this paper this differentiation and the pathogenesis of the symptoms are reviewed.
脑动静脉畸形(AVM)通常表现为急性出血或癫痫。在54例局限于大脑后半球的AVM患者中,约60%有间歇性或急性视觉症状。大多数患者有同向性偏盲。由于AVM可能导致神经方面的后果,因此将该病变引起的头痛和视觉症状与更常见的典型偏头痛的症状区分开来很重要。本文对这种鉴别诊断以及症状的发病机制进行了综述。