枕叶梗塞眼部临床特点与影像学分析  

The analysis of the clinical features and the imageology results of occipital lobe infarction.

作　　者：陈洁[1] 魏世辉[1] 李琳[1] 陶丽[1] 

机构地区：[1]解放军总医院眼科,硕士研究生北京100853

出　　处：《中国中医眼科杂志》2010年第5期258-261,共4页China Journal of Chinese Ophthalmology

摘　　要：目的对枕叶梗塞的病因、临床症状、影像学检查进行分析。方法回顾性分析了解放军总医院2009年1月至2009年12月诊断为枕叶梗塞的住院患者49例。对其发病原因、病变部位、主要临床症状和体征进行相关分析。结果 49例患者中出现眼部症状者46例(93.9%),其中17例仅出现眼部症状而首诊于眼科。视力下降21例,视物模糊34例,视野缺损41例(包括同向偏盲35例,其中伴黄斑迴避20例;象限缺损4例;单侧视野缺损2例),眼症以外的伴随症状以头晕、肢体运动障碍最为常见,各占20例。单纯枕叶梗塞26例(53.1%),23例合并其他脑叶损伤,其中最常见为颞叶和丘脑梗塞,分别为10例和9例。结论枕叶梗塞相对较为少见,且临床症状不典型,影像学检查是枕叶梗塞最重要的诊断方法。视物模糊、视力下降及视野缺损是枕叶梗塞的三个重要的眼部表现,尤其视野缺损更具有特征性意义。OBJECTIVE To analyse the etiological factor,clinical features and the imageology results of occipital lobe infarction. METHODS Forty-nine occipital lobe infarction cases from January 2009 to December 2009 were collected retrospectively. The etiological factor,diseased region,the ocular symptoms and some other nervous system symptoms were analysed. The results were compared. RESULTS Of all these patients,46 with ocular symp-toms(93.9%),and the incidence of eye symptoms that appeared firstly was 34.7%(17 pati...

关 键 词：枕叶 梗塞 偏盲 

分 类 号：R743.33[医药卫生—神经病学与精神病学]