Transient homonymous hemianopia and positive visual phenomena in nonketotic hyperglycemic patients

To report a case of a transient homonymous hemianopia in a patient with nonketotic hyperglycemia with negative magnetic resonance imaging (MRI) scans. Case report. A 72-year-old woman with diabetes mellitus was referred to the neuro-ophthalmology service with hyperglycemia and multiple visual compla...

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Bibliographic Details
Published in:American journal of ophthalmology 2004-06, Vol.137 (6), p.1122-1124
Main Authors: Freedman, Kenn A., Polepalle, Silpi
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Blood Glucose
Brain - pathology
Diabetic retinopathy
Female
Glaucoma
Glucose
Hemianopsia - diagnosis
Hemianopsia - etiology
Humans
Hyperglycemia
Hyperglycinemia, Nonketotic - complications
Hyperglycinemia, Nonketotic - diagnosis
Hypoglycemia
Magnetic Resonance Imaging
Medical imaging
Medical sciences
Oculomotor disorders
Ophthalmology
Patients
Visual Fields
Visual Pathways - pathology
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Description
Summary:To report a case of a transient homonymous hemianopia in a patient with nonketotic hyperglycemia with negative magnetic resonance imaging (MRI) scans. Case report. A 72-year-old woman with diabetes mellitus was referred to the neuro-ophthalmology service with hyperglycemia and multiple visual complaints. The patient was found to have a dense left homonymous hemianopia on examination. An MRI scan of the brain was negative for a lesion affecting the visual pathways. Resolution of the homonymous hemianopia and the patient's symptoms came with normalization of her blood glucose levels. Nonketotic hyperglycemia is an important diagnostic consideration in patients who present with homonymous visual field defects but have negative neuroimaging studies.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2003.11.067