在正常压力下设置的Palinopsia脑水
Paul B Ferguson1, Kennedy Snavely2
1Neurology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
Cureus
|April 1, 2024
概括
正常压力脑症 (NPH) 是一种导致心室巨腹症的疾病,可伴有视力障碍,如眼. 用脑脊液 (CSF) 轮流治疗有效地解决了这些不常见的视觉症状在一个患有NPH的患者.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 眼科医生 眼科 眼科
背景情况:
- 正常压力脑症 (NPH) 定义为病态腹腔巨变,脑脊液 (CSF) 压力正常.
- 经典的NPH症状包括步态障碍,认知障碍和尿路功能障碍.
- 在NPH中,由于典型的正常内压力,视觉症状很少出现.
研究的目的:
- 报告一种罕见的NPH病例,呈现出视觉偏差.
- 突出NPH视觉症状的诊断和治疗影响.
主要方法:
- 一个70岁的女性患有亚急性视力障碍的案例介绍.
- 临床评估包括步态,认知和泌尿功能的评估.
- 确诊了NPH,随后进行了心室关节突变植入.
主要成果:
- 这位患者出现了,步态不稳定,认知能力下降和尿急症.
- 随着心室关节的转移,人们观察到 significant 的步态改善,尿道症状,以及 palinopsia 的完全消失.
- 在6个月后的随访中,CSF变动的持续积极反应.
结论:
- 帕利诺普西亚可能是正常压力头症的非典型症状.
- 脑脊液 (CSF) 轮流是NPH的有效治疗方法,即使在异常视觉表现的情况下也是如此.
- 早期诊断和干预,可以导致神经功能显著恢复.
相关概念视频
Glaucoma: Overview
565
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
565
Angle Closure Glaucoma: Treatment
485
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
485
Photoreceptors and Visual Pathways
6.0K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.0K
Open Angle Glaucoma: Treatment
440
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
440
Prosopagnosia
161
Prosopagnosia, also known as face blindness, is the inability to recognize faces. In severe cases, individuals with prosopagnosia may not recognize close family members, including parents and spouses, by their faces. For instance, someone with prosopagnosia might walk past their child in a crowd, only realizing their mistake upon noticing their child's distinctive backpack or favorite jacket. Prosopagnosia specifically impairs facial recognition, while the recognition of other objects or...
161


