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双侧枕叶脑梗塞所致枕叶盲临床报道较少。现将我们遇到2例,均经头颅CT证实,报告如下。 例1 男,65岁,患者于凌晨起排尿时,感双目视物不清。6小时后双目失明。既往有高血压史十年。查体:血压22.5/13.5kPa(170/100mmHg),神清,反应迟钝,浯言流利。双目无光感,双瞳孔等大等圆,直径3.5mm,对光反射存在,辐辏反射正常,眼球各方运动自如。眼底见动脉变细,反光增强。余颅神经检查无异常。四肢肌力肌张力正常,腱反射正常,双侧巴氏征阴性。脑脊液及脑压正常。头颅CT扫描见双侧枕叶大片低密度灶。诊断:双侧枕叶脑梗塞。
Bilateral occipital lobe infarction caused by less clinical reports of occipital lobe. We now encounter two cases, both confirmed by skull CT, the report is as follows. Example 1 male, 65 years old, patients with urination in the early morning, the feeling of blurred vision. Blind eyes after 6 hours. Past history of hypertension ten years. Physical examination: blood pressure 22.5 / 13.5kPa (170 / 100mmHg), Shen Qing, unresponsive, bluntly fluent. Binocular light feeling, double pupil and other large round, diameter 3.5mm, the presence of light reflex, reflex normal convergence, eye movement freely. Fundus see the arteries thinner, reflective enhancement. I cranial nerve examination no abnormalities. Limb muscle strength normal muscle tension, normal tendon reflexes, both bilateral Pakistan’s sign negative. Cerebrospinal fluid and normal brain pressure. Head CT scan to see both sides of the occipital lobe large low-density lesions. Diagnosis: bilateral occipital lobe cerebral infarction.