Zung A, Margalith D
Department of Pediatrics, Kaplan Hospital, Rehovot, Israel.
Dev Med Child Neurol. 1993 Oct;35(10):921-6. doi: 10.1111/j.1469-8749.1993.tb11570.x.
Acute cortical blindness as an ictal phenomenon has seldom been reported in the literature. The authors describe a seven-year-old boy who experienced several episodes of complete visual loss, accompanied by gastro-intestinal symptoms and a sensation of fright, but with preservation of consciousness. These episodes ended abruptly with visual recovery and no postictal phenomena. CT brain scan was normal and interictal EEG showed bi-occipital epileptiform activity. This case fits the definition of true ictal blindness. A literature review of seizure-related blindness is presented.
急性皮质盲作为一种发作期现象在文献中鲜有报道。作者描述了一名7岁男孩，他经历了几次完全失明发作，伴有胃肠道症状和惊恐感，但意识保留。这些发作以视力恢复突然结束，且无发作后现象。脑部CT扫描正常，发作间期脑电图显示双侧枕叶癫痫样活动。该病例符合真性发作性失明的定义。本文对与癫痫发作相关的失明进行了文献综述。
