在中风后中复杂的视觉幻觉:一个病例报告和文献综述
Shugo Fujita1, Genko Oyama1, Hitoshi Kawasaki1
1Department of Neurology, Saitama Medical University, Japan.
Internal medicine (Tokyo, Japan)
|February 15, 2026
概括
在中风后中,复杂视觉幻觉 (CVH) 可能源于视觉记忆区域的活动. 在PSE中早期识别CVH可以防止误诊,并确保适当的治疗.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 神经科学是一个神经科学.
背景情况:
- 脑卒中后 (PSE) 是脑血管事故后的一个常见并发症.
- 复杂视觉幻觉 (CVH) 是一种不寻常但显著的神经症状.
- 了解PSE中CVH的神经生物学基础对于诊断和管理至关重要.
研究的目的:
- 报告一个PSE病例,呈现出持续的CVH.
- 探索特定大脑区域的活动与CVH之间的潜在联系.
- 突出承认CVH作为PSE的表现的重要性.
主要方法:
- 一个82岁的男性患有PSE和CVH的病例报告.
- 电脑电图 (EEG) 用于识别性泄漏.
- 在的背景下对CVH进行文献综述.
主要成果:
- 患者经历了持续的CVH,涉及过去的情节性场景.
- 脑电图显示了右后部和部区域的性泄漏.
- 症状通过使用 levetiracetam 得到缓解,并通过使用 zonisamide 维持.
结论:
- 在PSE中,CVH可能是由活动扩散到非主导的部或部区域引起的.
- CVH可能代表视觉记忆回忆,并与精神症状有关.
- 在PSE中识别CVH有助于准确诊断和适当治疗,避免误诊.
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