中英仅有视神经病变的神经结节病高

A58-year-oldwomandevelopedpainlessvisuallossinherlefteyeoverseveraldays.Shedescribedthevisioninherlefteyeas“similartolookingthroughadirtyscreendoor.”Shedenieddoublevisionandeyepainbutreportedfrontalthrobbingheadachesassociatedwithnauseaovertheprecedingmonths.Twoweeksbeforepresentation,shehadseveraldaysofnauseaandvomitingthathadbeenattributedtoviralgastroenteritis.

58岁女性出现左眼无痛性失明数天。表现为“就像透过不干净的纱门”。否认视物成双和眼痛，但在病前数月有额部搏动样疼痛伴恶心。2周前，有数天的恶心和呕吐，认为是病毒性胃肠炎。

HermedicalhistoryincludedhypertensionandhypothyroidismsecondarytoablativetherapyforGravesdisease.

病史包括高血压和继发于Graves病放疗后的甲减。

Questionforconsideration:

1.Whatisthelocalizationanddifferentialdiagnosisofherdeficits?

思考问题：

1.定位和鉴别诊断？

Monocularvisuallossmaybecausedbypathologyinthelens(e.g.,cornealulcersandabrasions),anteriorchamber(e.g.,glau

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