颠覆世界:昏迷患者的视力逆转变形症
Cassandra Mullen1, Zachary Jacobs2, David Pettersson2
1Oregon Health & Science University, Portland, Oregon, USA cssmlln@gmail.com.
BMJ case reports
|December 28, 2023
概括
一位老年男子的复发性昏迷与视力逆转变形症 (RVM) 相关,这是一种罕见的视力障碍. 后皮层循环受损导致了这两种症状,通过抗血小板治疗,他类药物和血压管理得到解决.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 血管医学 血管医学
背景情况:
- 复发性昏迷可以呈现出各种不同的病因.
- 视力逆转变形症 (RVM) 是一种罕见的视力障碍,具有各种潜在原因.
- 后部循环障碍可以表现为神经和视觉症状.
研究的目的:
- 为了研究老年患者中昏迷和RVM之间的联系.
- 为了确定综合性昏迷和RVM的根本原因.
- 评估特定管理策略的有效性.
主要方法:
- 一个老年男性患者的病例报告,他入院时昏迷和球破裂.
- 临床评估包括患者报告的视力障碍 (RVM).
- 诊断工作以评估后皮层循环和病因.
主要成果:
- 患者经历了昏迷,并报告了RVM,其特点是视觉倒置.
- 昏迷和RVM都归因于后皮层循环受损.
- 使用抗血小板剂,他类药物和允许的血压目标的管理导致RVM纠正.
结论:
- 后皮层循环受损可以表现为昏迷和RVM.
- 在这种情况下,有针对性的血管管理方法可以有效地解决RVM.
- 这一案例凸显了在患有不明原因昏迷和视力障碍的患者中考虑后部循环问题的重要性.
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