편두통 소아에서 나타난 지속적 양안 하측 반맹

• 영문명: A Case of Prolonged Bilateral Inferior Altitudinal Visual Field Defect in a Young Migraineur
• 발행기관: 대한안과학회
• 저자명: 홍정택 임현택,Jung Taeck Hong, MD, Hyun Taek Lim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number11, 1537~1542쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.11.15

영문 초록

Purpose: To report a case of prolonged bilateral inferior altitudinal visual field defect in a young migraine patient. Case summary: A 13-year-old female patient presented with bilateral disturbance of visual acuity and visual field, which had begun one month before. She complained of headache, with recently increasing frequency, that occurred 3 or 4 days a week for about 2~3 hours duration, sometimes accompanied by nausea and located in the frontotemporal and retrobulbar area. Brain magnetic resonance imaging showed no abnormal finding in the brain and orbit. Her visual acuity was hand motion in both eyes and Humphrey visual field test showed bilateral inferior altitudinal visual field defect. Pupillary resonse was normal and extraocular muscle movement, anterior segment and fundus were also normal in ophthalmologic examination. Her best corrected visual acuity was 1.0 in both eyes by fogging method, but bilateral inferior altitudinal visual field defect persisted for 6 months follow-up. Conclusions: Bilateral inferior altitudinal visual field defect can be developed in a migraine patient without other causes. Careful examinations to rule out other causes such as ischemic optic neuropathy or brain infarct should be performed in a migraine patient who complains of visual disturbance. J Korean Ophthalmol Soc 2010;51(11):1537-1542

키워드

Aura, Migraine, Visual field defect