Irreversible Homonymous Hemianopia Associated with Severe Hyperglycemia and Cerebral Hyperperfusion: A Case Report and Literature Review

被引：2

作者：

Kobayashi, Yuya ^{[1
]}

Itabashi, Ryo ^{[1
]}

Saito, Takuya ^{[1
]}

Kawabata, Yuichi ^{[1
]}

Yazawa, Yukako ^{[1
]}

机构：

[1] Kohnan Hosp, Dept Stroke Neurol, Sendai, Miyagi, Japan

来源：

INTERNAL MEDICINE | 2021年 / 60卷 / 19期

关键词：

homonymous hemianopia; hyperglycemia; hyperperfusion; epilepsy; single-photon emission computed tomography; POSITIVE VISUAL PHENOMENA; OCCIPITAL SEIZURES; T2; HYPOINTENSITY; NONKETOTIC HYPERGLYCEMIA; MRI;

D O I：

10.2169/internalmedicine.6994-21

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 68-year-old man was admitted to our department because of left incomplete homonymous hemianopia accompanied by hyperglycemia. Both T2-weighted and diffusion-weighted imaging revealed a low signal intensity along the subcortex and high signal intensity along the cortex on the right parietal and occipital lobes. Furthermore, arterial spin labeling and single-photon emission computed tomography showed hyperperfusion at the right parieto-occipital lobe. However, the electroencephalography result was normal. Hyperperfusion improved after controlling the blood glucose levels; nevertheless, homonymous hemianopia remained. We suspect that the irreversible brain damage was attributable to hyperperfusion associated with long-term hyperglycemia.

引用

页码：3161 / 3166

页数：6

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