双侧枕骨-顶骨出血所致安东综合征1例

Maftahul Jannat, S. Dey
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引用次数: 1

摘要

背景:安东氏综合征是一种罕见的综合征,其特征是患者明显看不见而否认失明。视觉病感失认症,通常由双侧枕部梗死引起。很少由脱髓鞘或出血引起。目的:报告一例心肌梗死后经皮冠状动脉介入治疗并发双侧枕顶叶出血的安东综合征。方法:对该病例进行充分的临床评估,并通过头部CT扫描证实诊断为双侧枕顶骨出血。结果:术中使用肝素和经皮冠状动脉介入治疗后双重抗血小板可能是双侧大叶出血的原因。结论:非典型视力丧失和双侧枕叶损伤的患者应怀疑皮质性失明和Anton综合征。虽然梗塞是常见的原因,但任何其他导致双侧枕骨损伤的原因,如出血,都可能导致该综合征。在心肌梗死的情况下,药物引起的广泛颅内出血是难以处理的。孟加拉国地中海理事会2021年公报;47 (1): 98 - 100
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Anton’s Syndrome Due to Bilateral Occipito-Parietal Haemorrhage: A Case Report
Background: Anton’s syndrome is a rare syndrome characterised by denial of blindness by a patient who obviously cannot see. Visual anosognosia and usually caused by bilateral occipital infarct. Rarely caused by demyelination or haemorrhage. Objective: The aim was to report a case of Anton’s syndrome due to bilateral occipito-parietal lobar haemorrhage following percutaneous coronary intervention due to myocardial infarction. Methods: The case was thoroughly evaluated clinically then diagnosis was confirmed by CT scan of head showing bilateral occipito-parietal haemorrhage. Result: The possible cause of bilateral lobar haemorrhage was due to use of Heparin during procedure and duel antiplatelet after percutaneous coronary intervention. Conclusion: A suspicion of cortical blindness and Anton’s syndrome should be raised in patients with atypical visual loss and evidence of bilateral occipital lobe injury. Though infarction is the common cause but any other cause that leads to bilateral occipital damage like haemorrhage in this patient may cause this syndrome. Drug induced extensive intracerabral haemorrhage is difficult to manage in the setting of myocardial infarction. Bangladesh Med Res Counc Bull 2021; 47(1): 98-100 
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
48
期刊介绍: The official publication of the Bangladesh Medical Research Council.
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