患有非典型视野缺陷的患者的临床和神经成像发现
Na Eun Kim1, Jihei Sara Lee1, Chan Yun Kim1
1Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
非典型的视野缺陷 (VFDs) 可以信号潜在的脑损伤. 神经影像对患有VFD的患者至关重要,特别是老年人或有视力变化和快速进展的患者.
科学领域:
- 神经眼科神经眼科
- 神经成像是一种神经成像.
- 视觉场分析 视觉场分析
背景情况:
- 非典型的视野缺陷 (VFDs) 可能会带来诊断挑战.
- 识别VFD的根本原因对于及时干预至关重要.
研究的目的:
- 调查非典型VFD患者的临床表现和神经成像发现.
- 确定与这些患者显著的神经成像发现相关的风险因素.
主要方法:
- 对159名被评估为非典型VFD的患者进行了回顾性横截面研究.
- 大脑磁共振成像 (MRI) 被用于诊断.
- 后勤回归分析确定了重要的发现的独立风险因素.
主要成果:
- 18.2%的患者有重大发现,包括内瘤和脑血管事故.
- 高龄,视力敏度下降,不完整的同名脑,没有周周缩 (PPA) 和快速的VFD进展与显著的发现有关.
- 对眼和非眼患者的亚组分析显示,与VFD特征和神经成像结果的特定关联.
结论:
- 非典型的VFD需要神经成像来检测视觉通路上的潜在病变.
- 神经成像特别推给老年患者,那些视力敏度下降,迅速进展或不完整的同名半视障碍患者.
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