Orrell R W, James-Galton M, Stevens J M, Rossor M N
St Mary's Hospital, London, UK.
Postgrad Med J. 1995 Jan;71(831):44-6. doi: 10.1136/pgmj.71.831.44.
A 67-year-old man developed a sudden onset of achromatopsia. Magnetic resonance imaging showed occipital lobe infarction. Repeated episodes of neurological deficit referable to the posterior circulation initially suggested an embolic source, but subsequently proved to be due to a coagulopathy related to a carcinoma of the bladder. This has implications for the management of patients presenting with achromatopsia, and progressive or recurrent neurological episodes, and in particular the use of anticoagulation in this situation.
一名67岁男性突然出现色盲症状。磁共振成像显示枕叶梗死。最初,因后循环相关的反复神经功能缺损发作提示存在栓子来源,但随后证实是由与膀胱癌相关的凝血病所致。这对出现色盲以及进行性或复发性神经发作的患者的管理具有启示意义,尤其是在这种情况下抗凝治疗的使用。