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皮层盲系大脑皮层视觉中枢枕叶距状裂二岸损害所致以视觉障碍为其主要临床表现的疾患,临床上多为外伤性或血管疾患的后遗症。此病药物治疗部分病例疗效不佳,物理治疗有一定的作用。我们应用超声波和He—Ne激光治愈双皮层盲各一例,现报告如下: 资料和方法例1陆某某男 21岁农民。78年12月6日因视力障碍、精神障碍25天;昏迷、大小便失禁16天收治入院。一般检查:昏迷,心肺(-)、右骶尾部见3×5cm褥疮。神经科检查:瞪目昏迷、二瞳孔等大约6mm、光反射迟钝,瞬目反射消失,眼底(-)。左上下深肢反射亢进,巴彬斯基征(+),尿便失禁。脑脊液检查:无色透明,氯化物700mg％,糖50mg％,细胞数12/mm~3。
Cortical blind cortex visual center of the occipital lobe fissure caused by damage to the two sides as the main clinical manifestations of visual disorders, clinically mostly traumatic or vascular disorders sequelae. Some of the disease drug treatment ineffective cases, physical therapy has a certain effect. We use ultrasound and He-Ne laser cure double cortical blind one case, are reported as follows: Data and methods Example 1 Moumou male and 21-year-old farmer. December 6, 78 due to visual impairment, mental disorders 25 days; coma, incontinence 16 days admitted to hospital. General examination: coma, cardiopulmonary (-), right sacrococcygeal see 3 × 5cm bedsores. Neurological examination: stare eyes coma, two pupil about 6mm, slow light reflex, blink reflex, fundus (-). Left upper and lower limb hyperreflexia, Babinski sign (+), urinary incontinence. Cerebrospinal fluid examination: colorless and transparent, chloride 700mg%, sugar 50mg%, the number of cells 12 / mm ~ 3.