Reversible hyperglycemic homonymous hemianopia.
We report a 67-year-old female diabetic with homonymous hemianopia as the presenting sign of nonketotic hyperglycemia. Magnetic resonance imaging (MRI) was abnormal with diffuse bilateral hyperintense white matter changes. A follow-up MRI scan 15 years later showed persisting abnormality. Her hemianopic visual field loss was reversed after correction of her hyperglycemia. Diabetes mellitus should be considered with the sudden onset of a homonymous hemianopia.
Mitchell
John P
JP
Department of Ophthalmology, New York-Presbyterian Hospital, New York, New York 10030, USA. mitchellmdj@verizon.net
Yancy
Asha
A
Saint Louis
Leslie
L
Rosberger
Daniel F
DF
D000368:Aged; D001921:Brain / Q000473:pathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006423:Hemianopsia / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D020158:Hyperglycinemia, Nonketotic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008279:Magnetic Resonance Imaging