由于巨大的Virchow-Robin空间,左上位同名四边形视障
Michelle Lim1, Jonathan A Micieli2,3
1Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Case reports in ophthalmology
|July 19, 2023
概括
扩大的周脉空间,也称为Virchow-Robin空间,可以导致视野缺陷. 这一案例突出了它们在无法解释的视觉通路异常中的潜在作用.
科学领域:
- 神经眼科神经眼科
- 神经辐射学神经辐射学
- 脑血管神经学 脑血管神经学
背景情况:
- 视野缺陷可以在没有其他神经症状的情况下出现.
- 周血管空间或Virchow-Robin空间是大脑中的正常发现.
- 扩大的周血管空间有时可能与神经学缺陷有关.
研究的目的:
- 报告视野缺陷的病例是由扩大的周脉空间引起的.
- 突出视野缺陷的诊断考虑因素.
- 为了说明视觉缺陷的神经解剖路径.
主要方法:
- 一个51岁的男人有偶尔的视野缺陷的案例报告.
- 汉弗里 24-2 SITA-快速视觉现场测试.
- 大脑磁共振成像 (MRI) 用于解剖评估.
主要成果:
- 一个左上位同名的四角眼视被确定.
- 核磁共振扫描显示,在右基底和侧生殖器体附近有一个巨大的周围血管 (Virchow-Robin) 空间.
- 该空间的尺寸为2.0 × 0.5厘米.
结论:
- 巨大的周脉空间会导致视野缺陷.
- 无法解释的视野缺陷需要对视觉通路沿线的结构异常进行调查.
- 这一案例强调了在视野损失的差异诊断中考虑扩大周血管空间的重要性.
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