Anomalous head posture with early-onset homonymous hemianopia.
OBJECTIVE
We have noted the frequent finding of an ipsilateral head turn in children with early-onset homonymous hemianopia. We report a series of patients with these findings and propose a theory to explain this association.


METHODS
Ten patients with early-onset homonymous hemianopia and anomalous head posture were examined. Head computed tomography and magnetic resonance imaging confirmed a cerebral lesion as the cause of the hemianopia in all patients.


RESULTS
All patients had onset of central nervous system disease prenatally or before age 18 months. A head turn toward the visual field defect with a gaze preference contralateral to the visual field defect was present in all patients.


CONCLUSIONS
Early-onset homonymous hemianopia should be included in the differential diagnosis of anomalous head posture.
Paysse
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EA
Cullen Eye Institute, Baylor College of Medicine, Texas Children's Hospital, Houston 77030, USA.
Coats
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DK
D017668:Age of Onset; D001927:Brain Diseases / Q000150:complications; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005403:Fixation, Ocular; D006257:Head / Q000503:physiopathology*; D006423:Hemianopsia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D008297:Male; D011187:Posture; D014794:Visual Fields