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经CT证实皮层盲临床上不多,表现为双目失明,如不伴其它症状及查体不详细,常易误诊。我们遇到3例,报告如下。例1:男,60岁。病前下午饮酒150g,午夜1时醒后双目视物不清,后枕部隐痛。次日双目失明,后枕部疼痛加剧。精神差,记忆力减退,时有胡言乱语,强笑。既往少量抽烟饮酒。查体:血压130/80mmHg,神清,答话切题。双目无光感,眼底正常。
Clinically confirmed by cortical blind clinical little, manifested as binocular blindness, such as not accompanied by other symptoms and physical examination is not detailed, often misdiagnosed. We encountered three cases, the report is as follows. Example 1: Male, 60 years old. Pre-sick afternoon drinking 150g, woke up at midnight, binocular vision is not clear, after the occipital pain. The next day blindfolded, occipital pain intensified. Poor spirit, memory loss, sometimes nonsense, strong laugh. In the past a small amount of smoking and drinking. Physical examination: blood pressure 130 / 80mmHg, God clear, answering questions. No sense of binocular, normal eyes.