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枕叶梗塞临床多有报道,视野改变为同向性偏盲或皮质盲。致视野向心性缩小者罕见报道,我院收治2例,现报告如下。 病例1,男,50岁,干部。入院5个月前骑车中突感右眼外侧物体看不见,外院CT为左枕叶皮质下梗塞。入院前5天中午洗脸时,感左跟外侧视物不见,同时右眼只能看前方物体,伴头晕及后枕部痛。入院后检查:血压16.0/10.6 kPa。视野计检查:白光,指标3/330。双眼视力1.2。视野右眼:颞侧50°,鼻侧30°,上侧20°,下侧30°,左眼:颞侧30°,鼻侧36°,上侧15°,下侧50°。眼底正常。
More clinical reports of occipital infarction, vision changes to the same direction of partial blind or cortical blind. To the field of vision to reduce those who rarely reported, our hospital admitted in 2 cases, are as follows. Case 1, male, 50 years old, cadre. 5 months ago admitted to the hospital in the sudden sense of right eye outside the body can not see the outside hospital CT for the left occipital cortex infarction. 5 days before admission wash your face at noon, the left and the left side of the visual material disappeared, while the right eye can only see the front object, with dizziness and occipital pain. Post-admission examination: blood pressure 16.0 / 10.6 kPa. Visual inspection: white light, indicator 3/330. Binocular vision 1.2. Right eye: temporal 50 °, nasal 30 °, upper 20 °, lower 30 °, left eye: temporal 30 °, nasal 36 °, superior 15 °, inferior 50 °. Fundus normal.