The stroke resulted in homonymous hemianopsia
, or hemianopia, the lack of a column of vision in each eye.
Neurological findings revealed homonymous hemianopsia
on the right side and positive pronation and toning of the right limbs, without asymmetry of reflexes.
Physical examination demonstrated bitemporal hemianopsia
; the neurological examination was otherwise unremarkable.
(8) Lymph node Seven cycles of 2006 1 case (55/m) enlargement, cyclophosphamide bitemporal cncovin (vincristine) hemianopsia
, diabetes prednisone (COP) insipidus (DI) with (cyclophosphamide, hypopituitarism vincristine, (weakness, prednisone).
NKH, usually observed in patients with type 2 diabetes mellitus, has been associated with different neurologic manifestations such as delirium, seizures, hemiballism-hemichorea, dysphagia, hemianopsia
, hemiparesis, and hemisensory loss (2).
The clinical presentation is mainly related to the tumor location : suprasellar lesions cause diabetes insipidus (DI), hypopituitarism, or bilateral temporal hemianopsia
, whereas lesions of the pineal region produce signs of increased intracranial pressure (ICP) due to obstructive hydrocephalus, Parinaud's syndrome, ataxia, behavioral changes, and seizure.
Our patient is a 54-year-old Caucasian male with a history of cardiac and pulmonary sarcoidosis, hypertension, premature ventricular contractions (PVCs), and obesity who presented with acute onset right hemianopsia
, memory recall difficulty, and alexia without agraphia.
Most of the patients with LHON reported in the literature had central or centrocecal scotoma, [6, 22]; however, VF defects mimicking bitemporal hemianopsia
have also been described in LHON patients .
Three children had a visual field defect as measured using Goldmann visual field perimetry (2 hemianopsia
, 1 quadranopsia; see Table 2), and 3 children had a deficit of eye motility .