差点漏诊新发脑梗!幸好查体够仔细
封面摄影:邓敏兴老师
可疑的左侧视野缺损
详细的查体发现线索
视觉忽视
右侧大脑半球或许存在新发梗死灶
漏诊视觉忽视可能错误评估病情
第 11 项为:(上下滑动查看)
Extinction and Inattention (formerly Neglect): Sufficient information to identify neglect may be obtained during the prior testing. If the patient has a severe visual loss preventing visual double simultaneous stimulation, and the cutaneous stimuli are normal, the score is normal. If the patient has aphasia but does appear to attend to both sides, the score is normal. The presence of visual spatial neglect or anosagnosia may also be taken as evidence of abnormality. Since the abnormality is scored only if present, the item is never untestable.
消退和不注意(以前为忽视): 在患者严重视觉缺失影响双侧视觉,可给予双侧同时检查,皮肤触觉检查为正常,记为正常。若失语,但确实表现为对双侧的注意记为正常。视空间忽视或疾病失认也可认为是异常的证据。
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