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Rehabilitation Practice and Science

Translated Title

椎動脈剝離合併皮質盲之視覺恢復：病例報告

Abstract

The annual incidence of vertebral artery dissection is 1 in 100,000. The clinical manifestations are diverse, including dizziness, occipital headache, neck pain and posterior circulation ischemia. One fourth of patients with vertebral artery dissection develop posterior circulation stroke, so vertebral artery dissection is considered one of the common causes of young stroke. The most common ophthalmic signs after posterior circulation ischemia are blurry vision followed by diplopia, whereas complete visual loss is uncommon. This report describes a 34-year-old woman who presented with complete cortical blindness caused by spontaneous vertebral artery dissection with ischemic stroke in the posterior circulation. In addition to visual problems, she also had motor and sensory deficits. Her visual recovery began 2 months after stroke, in the sequence of light perception, shape distinction, followed by color discrimination. Due to visual impairment, she also had disorientation and sleep disturbance. Therefore, visual rehabilitation such as lighting conditioning, contrast enhancement, and optical aids are important and should be applied to this kind of patients. The clinical manifestations of vertebral artery dissection and the treatment of bilateral cortical blindness are discussed in this report, and relevant literature is reviewarticleed.

Language

Traditional Chinese

First Page

171

Last Page

176

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