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Primary antiphospholipid syndrome presenting with homonymous quadrantanopsia
PURPOSE: To report a case of primary antiphospholipid syndrome presenting with isolated homonymous superior quadrantanopsia. OBSERVATIONS: A 50-year-old Korean man presented with subjective visual disturbance for 1 month. Visual field testing showed a right homonymous superior quadrantanopsia. Brain...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854868/ https://www.ncbi.nlm.nih.gov/pubmed/29552669 http://dx.doi.org/10.1016/j.ajoc.2018.03.001 |
Sumario: | PURPOSE: To report a case of primary antiphospholipid syndrome presenting with isolated homonymous superior quadrantanopsia. OBSERVATIONS: A 50-year-old Korean man presented with subjective visual disturbance for 1 month. Visual field testing showed a right homonymous superior quadrantanopsia. Brain magnetic resonance imaging (MRI) revealed an old infarct in his left occipital lobe and multiple lesions in other areas of the brain. Laboratory tests showed a marked increase in serum anti-β2 glycoprotein I antibody, which remained elevated after 12 weeks. He was diagnosed with primary antiphospholipid syndrome and started anticoagulation therapy. CONCLUSIONS AND IMPORTANCE: This is the first case report of primary antiphospholipid syndrome presenting with isolated homonymous quadrantanopsia. Antiphospholipid syndrome should be considered as a differential diagnosis in patients with homonymous visual field defects accompanying multiple cerebral infarcts. |
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