Cortical blindness and homonymous hemianopia in the postpartum period.
Cortical blindness and homonymous hemianopia in the postpartum period.
复制标题
产后皮质盲和同向偏盲。
DOI：
10.1001/jama.1980.03310180051036
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发表时间：
1980
期刊：
影响因子：
--
通讯作者：
P. Chapman
中科院分区：
文献类型：
--
作者：
M. Beal;P. Chapman
脑静脉血栓形成是产褥期的一种已知并发症。皮质盲尚未被报道为该综合征的唯一表现。我们描述了一例皮质盲和两例因产褥期脑静脉血栓形成引起的同侧偏盲。个案报告个案1.一位28岁的女性在顺利怀孕和分娩后立即出现严重的枕部头痛。四天后，当她从午睡中醒来时，她看不见东西，并经历了三次典型癫痫大发作中的第一次。她的病史包括五年前严重的左侧搏动性头痛，之前有五分钟的部分视力丧失，伴有“斑点和波浪线”。“一般体格检查的结果，特别是视神经底是正常的。瞳孔对光线的反应活跃而对称。没有光感或运动感，也没有视动性眼球震颤。
CEREBRAL venous thrombosis is a known complication of the puerperium. Cortical blindness has not been reported as a sole manifestation of this syndrome. We describe one patient with cortical blindness and two with homonymous hemianopia attributed to puerperal cerebral venous thrombosis. Report of Cases Case 1.— A 28-year-old woman had development of a severe occipital headache immediately after an uneventful pregnancy and delivery. Four days later, she was unable to see when she awoke from a nap and experienced the first of three typical grand mal seizures. Her history included a severe left-sided throbbing headache five years earlier, which had been preceded by five minutes of partial loss of vision with "spots and wavy lines." Findings from general physical examination with special attention to the optic fundi were normal. The pupils reacted briskly and symmetrically to light. There was no perception of light or motion, and opticokinetic nystagmus was absent.