对安东尼综合征的洞察:当大脑否认失明时
Oday Atallah1, Amr Badary2, Yasser F Almealawy3
1Departemnt of Neurosurgery, Hannover Medical School, Hannover, Germany.
概括
安东尼综合征 (AS) 涉及对失明的否认,通常是由于叶损伤. 这份对72例病例的综述强调了各种原因和治疗方法,并警告由于死亡风险较高,不要使用一般抗凝药.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 神经科学是一个神经科学.
背景情况:
- 缺陷意识的缺陷,包括安东尼综合征 (AS),以双边视力丧失和失明否认为特征.
- 本系统性审查分析了来自64项研究的72例AS病例,详细介绍了人口统计学,临床特征,治疗方法和结果.
研究的目的:
- 系统地审查安东尼综合征病例.
- 分析人口统计,病因和AS的临床表现.
- 评估安东尼综合征的治疗策略和结果.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,谷歌学者和Scopus数据库中进行了搜索.
- 包括64个英语人体研究,涉及72个AS病例.
主要成果:
- 平均年龄55岁,在72例AS病例中没有性别偏好.
- 高血压 (34.7%) 和视觉无意识 (90.3%) 是常见的;中风 (40.3%) 是主要原因.
- 45.8%改善,22.2%不变,11.1%恶化;抗凝药与较高的死亡率有关.
结论:
- 安东尼综合征主要是由于叶损伤造成的,通常是由于脑血管事件,并且与迪德-博卡佐综合征具有共同的特征.
- 基于病因学的定制治疗是必不可少的. 由于潜在的死亡风险,不建议使用全方位抗凝药,因此需要进一步研究以获得更精细的诊断和护理.
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