Seeing is not believing

被引:1
作者
Foster, Zane [1 ]
Kini, Ashwini [2 ]
Al Othman, Bayan [2 ]
Lee, Andrew G. [2 ,3 ,4 ]
Vaphiades, Michael [5 ,6 ,7 ]
机构
[1] Baylor Coll Med, Houston, TX 77030 USA
[2] Houston Methodist Hosp, Blanton Eye Inst, Dept Ophthalmol, Houston, TX 77030 USA
[3] UTMB, Dept Ophthalmol, Galveston, TX USA
[4] UT MD Anderson Canc Ctr, Texas A&M Coll Med, Bryan, TX USA
[5] Univ Alabama Birmingham, Dept Ophthalmol, Birmingham, AL 35294 USA
[6] Univ Alabama Birmingham, Dept Neurol, UAB Stn, Birmingham, AL 35294 USA
[7] Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA
关键词
pure alexia; alexia without agraphia; occipital lobe; splenium of corpus callosum; stroke; reading problems; ALEXIA; AGRAPHIA;
D O I
10.1016/j.survophthal.2019.03.008
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
An 84-year-old woman with a history of dry age-related macular degeneration presented with an acute inability to read, but intact writing ability (pure alexia or alexia without agraphia). She denied any difficulty speaking, paresthesias, or hemiparesis. Her visual acuity was 20/20 in each eye. Macular examination, optical coherence tomography, and fluorescein angiography demonstrated the previously diagnosed macular drusen and geographic atrophy of the retinal pigment epithelium consistent with the dry form of age-related macular degeneration both eyes. Automated perimetry revealed a right homonymous hemianopsia. Neuroimaging confirmed a left occipital ischemic infarction with involvement of the splenium of the corpus callosum producing the classic disconnection syndrome of alexia without agraphia. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:386 / 390
页数:5
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