Occipital cortical blindness caused by cerebral infarction mistaken for clinical analysis of optic neuritis.doc

 PAGE \* MERGEFORMAT 6 Occipital cortical blindness caused by cerebral infarction mistaken for clinical analysis of optic neuritis [Keywords:] Cerebral infarction; cortical blindness; misdiagnosed; optic neuritis Occipital cortical blindness caused by cerebral infarction and cerebrovascular diseases accounted for in a certain proportion of such patients often received treatment in ophthalmology, since July 2003 to July 2009 we had 5 cases of cortical blindness misdiagnosed as acute retrobulbar optic neuritis patients analysis of its causes of misdiagnosis is. 1 Clinical data 5 cases of cortical blindness caused by occipital lobe infarction patients, 4 males and 1 female; age 56 to 83 years, mean 67 years; after the onset of treatment time 5 ~ 30 h; misdiagnosed minimum 12 h, up to 7 days. The body with 1 case of hypertensive arteriosclerosis, myocardial infarction in 1 case, 1 case of diabetes. acuity light perception - Index / 1 m, head CT examination revealed: bilateral occipital lobes are visible low-density lesion with clear boundary. or the side of the occipital malacia. in some cases, bilateral parietal cortex, basal ganglia area, two periventricular low-density boundary is also clearly visible lesions. Misdiagnosis of 2 2.1 The two diseases are mainly the lack of full understanding of the occipital lobe infarction rapid onset, short period of time that cortical blindness amaurosis eyes. Most no premonitory symptoms, usually in a few seconds after the onset of symptoms or the development of a very short time to peak. Therefore, most patients first diagnosed in the eye. infarction more than 24 h after the onset of CT examination can be shown, it is mistaken for retrobulbar neuritis account for a certain proportion. occipital cerebral cortical blindness caused by bilateral occipital lobe pre-conditions must be involved, Because the side of the occipital lobe damage, the more performance for the same lesion contralateral to the hemianopia,