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皮质盲可见于轻度头部伤的儿童。其典型表现为患儿头部受撞击而不伴有意识丧失,但可有发昏或眩晕,经15～45分钟潜伏期出现失明,并持续数小时才完全恢复正常。作者对神经外科中心1年中诊治的一组患者作一报道。例1:8岁男孩在游泳池边滑倒致枕部负伤后,出现头晕、思睡、呕吐,但无意识丧失。回家后因不能视物送至本院。受伤后患儿视野内有盲斑,约3小时后完全失明。检查发现瞳孔反应虽正常,但看不见视野内的任何物体,且未见其它神经体征,颅脑X线检查也正常。伤后6小时便自动恢复正常。其母有偏头痛史。
Cortical blindness can be seen in children with mild head injuries. The typical manifestation of the impact of the child’s head with no loss of consciousness, but may have dizziness or dizziness, after 15 to 45 minutes of incubation period blindness, and continued for several hours before fully returned to normal. The authors report a group of patients treated at the Neurosurgery Center over a one-year period. Example 1: An 8-year-old boy was dizzy, sluggish and vomiting after she slipped on the edge of a swimming pool and caused an occipital injury. However, she lost her unconsciousness. After returning home can not be sent to the hospital as the material. Blind spots in children’s vision after injury, completely blind after about 3 hours. Examination found that pupil response was normal, but can not see any objects within the field of vision, and no other signs of neurological examination, brain X-ray examination is also normal. 6 hours after injury will automatically return to normal. The mother has a history of migraine.