Radziwill A J, Vuadens P, Borruat F X, Bogousslavsky J
Service de Neurologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Suisse.
Eur Neurol. 1997;38(1):7-9. doi: 10.1159/000112895.
A 73-year-old man with a history of a cerebral and a cardiac vascular disease and atrial flutter developed visual disturbances characterized by vision being dark in both eyes and by seeing as through a color photographic negative immediately after an uncomplicated transurethral resection of the prostate (TURP) for prostatic hyperplasia under spinal anesthesia. There was complete remission of the symptomatology after 2.5 h. A cerebrovascular workup was negative. Considering postoperative hyponatremia and hypoosmality, we discuss the possible role of glycine-induced visual disturbances as described in the TURP reaction syndrome, to our knowledge an entity almost unknown in the neurologic literature. Glycine-induced visual disturbances should therefore be considered in the differential diagnosis of bilateral transient visual loss.
一名73岁男性，有脑血管和心血管疾病及心房扑动病史，在脊髓麻醉下因前列腺增生行单纯经尿道前列腺切除术（TURP）后，出现视觉障碍，其特征为双眼视物发暗，如同透过彩色负片视物。症状在2.5小时后完全缓解。脑血管检查结果为阴性。考虑到术后低钠血症和低渗状态，我们讨论了甘氨酸诱发视觉障碍在TURP反应综合征中的可能作用，据我们所知，这一情况在神经学文献中几乎不为人知。因此，在双侧短暂性视力丧失的鉴别诊断中应考虑甘氨酸诱发的视觉障碍。
