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Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly
PURPOSE: To report a case of a 56-year-old male with right homonymous hemianopia. METHODS: Retrospective descriptive study of a case report based on information from clinical records, patient observation and analysis of complementary diagnostic tests. RESULTS: An asymptomatic 56-year-old male presen...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4748790/ https://www.ncbi.nlm.nih.gov/pubmed/26889154 http://dx.doi.org/10.1159/000443323 |
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author | Neves, Arminda Carvalheira, Fausto Campos, Joana Alfaiate, Pedro Campos, António Paulo, João Sousa, Castro |
author_facet | Neves, Arminda Carvalheira, Fausto Campos, Joana Alfaiate, Pedro Campos, António Paulo, João Sousa, Castro |
author_sort | Neves, Arminda |
collection | PubMed |
description | PURPOSE: To report a case of a 56-year-old male with right homonymous hemianopia. METHODS: Retrospective descriptive study of a case report based on information from clinical records, patient observation and analysis of complementary diagnostic tests. RESULTS: An asymptomatic 56-year-old male presented to our hospital for a routine ophthalmic examination. The best-corrected visual acuity was 20/20 in the right eye (RE) and in the left eye (LE). Pupillary function, intraocular pressure, external segment examinations and slit-lamp biomicroscopy were normal, bilaterally. Fundoscopy showed a cup-to-disc (C/D) ratio in the RE of 0.3 and of 0.4 in the LE. Retinal nerve fiber layer (RNFL) thickness measured by spectral domain optical coherence tomography revealed thinning of the superior, temporal and nasal RNFL in the RE and thinning of the superior, inferior and temporal RNFL in the LE. Automated static perimetry showed right homonymous hemianopia. Brain computed tomography (CT) showed an open-lip schizencephaly with a significant reduction of the left brain parenchyma. CONCLUSIONS: Despite the large visual defect, the patient was unaware of it and had an active professional life. This is an interesting case because despite the extensive morphological abnormalities seen on brain CT there is a relatively small functional repercussion. |
format | Online Article Text |
id | pubmed-4748790 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-47487902016-02-17 Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly Neves, Arminda Carvalheira, Fausto Campos, Joana Alfaiate, Pedro Campos, António Paulo, João Sousa, Castro Case Rep Ophthalmol Published online: January, 2016 PURPOSE: To report a case of a 56-year-old male with right homonymous hemianopia. METHODS: Retrospective descriptive study of a case report based on information from clinical records, patient observation and analysis of complementary diagnostic tests. RESULTS: An asymptomatic 56-year-old male presented to our hospital for a routine ophthalmic examination. The best-corrected visual acuity was 20/20 in the right eye (RE) and in the left eye (LE). Pupillary function, intraocular pressure, external segment examinations and slit-lamp biomicroscopy were normal, bilaterally. Fundoscopy showed a cup-to-disc (C/D) ratio in the RE of 0.3 and of 0.4 in the LE. Retinal nerve fiber layer (RNFL) thickness measured by spectral domain optical coherence tomography revealed thinning of the superior, temporal and nasal RNFL in the RE and thinning of the superior, inferior and temporal RNFL in the LE. Automated static perimetry showed right homonymous hemianopia. Brain computed tomography (CT) showed an open-lip schizencephaly with a significant reduction of the left brain parenchyma. CONCLUSIONS: Despite the large visual defect, the patient was unaware of it and had an active professional life. This is an interesting case because despite the extensive morphological abnormalities seen on brain CT there is a relatively small functional repercussion. S. Karger AG 2016-01-08 /pmc/articles/PMC4748790/ /pubmed/26889154 http://dx.doi.org/10.1159/000443323 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Published online: January, 2016 Neves, Arminda Carvalheira, Fausto Campos, Joana Alfaiate, Pedro Campos, António Paulo, João Sousa, Castro Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly |
title | Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly |
title_full | Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly |
title_fullStr | Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly |
title_full_unstemmed | Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly |
title_short | Right Homonymous Hemianopia: A Clinical Case Report of Schizencephaly |
title_sort | right homonymous hemianopia: a clinical case report of schizencephaly |
topic | Published online: January, 2016 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4748790/ https://www.ncbi.nlm.nih.gov/pubmed/26889154 http://dx.doi.org/10.1159/000443323 |
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