Hyperglycemic hemianopia: a reversible complication of non-ketotic hyperglycemia.
Four patients each developed a reversible homonymous hemianopia caused by non-ketotic hyperglycemia. In two patients the homonymous hemianopia was the first manifestation of diabetes mellitus type 2. All four patients had abnormal MRI scans; in the three patients who had late follow-up scans the abnormalities resolved completely. In one patient the progressive visual field defect and unusual MRI findings initially caused concern for a tumor.
Lavin
Patrick J M
PJ
Department of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212, USA. patrick.lavin@vanderbilt.edu
D000328:Adult; D000368:Aged; D001921:Brain / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology; D001928:Brain Diseases, Metabolic / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D003681:Dehydration / Q000209:etiology / Q000503:physiopathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D003937:Diagnosis, Differential; D018450:Disease Progression; D006423:Hemianopsia / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D006943:Hyperglycemia / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D007328:Insulin / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009413:Nerve Fibers, Myelinated / Q000378:metabolism / Q000473:pathology; D009457:Neuroglia / Q000378:metabolism / Q000473:pathology; D012640:Seizures / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome; D014795:Visual Pathways / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology
D007328:Insulin