Bilateral Superior Altitudinal Hemianopia: Missing the Goal, but Hitting the Stroke Cause

Bilateral superior altitudinal hemianopia is an uncommon clinical presentation of ischemic stroke. We report a patient who had an ischemic stroke with a pure bilateral superior altitudinal hemianopia resulting from bilateral ischemia in the optic radiation. This symptom was first overlooked and a de...

Full description

Saved in:
Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2010-03, Vol.19 (2), p.165-166
Main Authors: Etgen, Thorleif, MD, Köhler, Michaela, MD, Sander, Dirk, MD
Format: Article
Language:English
Subjects:
Aged
Altitudinal hemianopia
Anticoagulants - therapeutic use
Atrial Fibrillation - complications
Basilar Artery - pathology
Basilar Artery - physiopathology
Brain Ischemia - complications
Brain Ischemia - pathology
Brain Ischemia - physiopathology
Cardiovascular
Diffusion Magnetic Resonance Imaging
diffusion-weighted imaging
Functional Laterality - physiology
Hemianopsia - etiology
Hemianopsia - pathology
Hemianopsia - physiopathology
Humans
Infarction, Posterior Cerebral Artery - complications
Infarction, Posterior Cerebral Artery - pathology
Infarction, Posterior Cerebral Artery - physiopathology
Male
neuro-ophthalmology
Neurology
Posterior Cerebral Artery - pathology
Posterior Cerebral Artery - physiopathology
stroke
Treatment Outcome
Vertebrobasilar Insufficiency - complications
Vertebrobasilar Insufficiency - pathology
Vertebrobasilar Insufficiency - physiopathology
Vision, Binocular - physiology
Visual Cortex - blood supply
Visual Cortex - pathology
Visual Cortex - physiopathology
Visual Fields - physiology
Visual Pathways - blood supply
Visual Pathways - pathology
Visual Pathways - physiopathology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bilateral superior altitudinal hemianopia is an uncommon clinical presentation of ischemic stroke. We report a patient who had an ischemic stroke with a pure bilateral superior altitudinal hemianopia resulting from bilateral ischemia in the optic radiation. This symptom was first overlooked and a delusion was suspected. A thorough clinical examination is essential to avoid any misdiagnosis or to overlook correct treatment.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2009.03.018