Abstract:
METHODS: A 22 year-old woman complained about blurred vision after an episode of recovered cardiorespiratory arrest. She had bilateral low visual acuity («count fingers») and no ophthalmological or visual pathways changes. She also had an apparent lack of awareness of the deficit. The Magnetic Resonance Imaging (MRI) showed ischaemic changes in both occipital lobes. As a result, she was diagnosed with Anton-Babinski syndrome.
CONCLUSIONS: This is a rare disease that should be suspected in strange or poorly congruent visual loss. It is usually due to an ischaemic injury in this region of brain, manifesting itself with low vision not perceived by the patient (visual confabulation). It can simulate a non-organic visual loss or psychiatric disease.
摘要:
方法:一名22岁女性主诉在心肺呼吸骤停后出现视力模糊。她的双侧视力较低(“数指”),并且没有眼科或视觉通路的变化。她也明显缺乏对赤字的认识。磁共振成像(MRI)显示两个枕叶的缺血性改变。因此,她被诊断出患有Anton-Babinski综合征.
结论:这是一种罕见的疾病,应该在奇怪或不一致的视力丧失时被怀疑。这通常是由于大脑这个区域的缺血损伤,表现为患者无法感知的低视力(视觉虚构)。它可以模拟非器质性视力丧失或精神疾病。