Imai N, Nohira O, Miyata K, Okabe T, Hamaguchi K
Department of Neurology, Shizuoka Red Cross Hospital.
Rinsho Shinkeigaku. 1995 Mar;35(3):302-5.
A 51-year-old woman complained that her right side of the face looked blurring and the right margin of all the objects in her visual field looked blurred. Neurological examination on admission showed no abnormalities including higher cortical function and visual fields except the metamorphopsia. In this case, a very localized spotty infarct caused no neurological symptoms other than the metamorphopsia. CT scan and MRI revealed a spotty lesion of infarct between retrosplenium and cingulate gyrus on the left side. This can be a breakthrough case to locate the exact anatomic pathology that causes metamorphopsia.
一名51岁女性主诉其右侧面部看起来模糊不清，且视野中所有物体的右边缘都模糊。入院时的神经学检查显示，除了视物变形外，包括高级皮质功能和视野在内均无异常。在该病例中，一个非常局限的斑点状梗死灶除了导致视物变形外未引起其他神经症状。CT扫描和MRI显示左侧压部和扣带回之间有一个斑点状梗死灶。这可能是一个能够定位导致视物变形的确切解剖病理学位置的突破性病例。
