Bilateral superior altitudinal hemianopia: missing the goal, but hitting the stroke cause.
Bilateral superior altitudinal hemianopia is an uncommon clinical presentation of ischemic stroke. We report a patient who had an ischemic stroke with a pure bilateral superior altitudinal hemianopia resulting from bilateral ischemia in the optic radiation. This symptom was first overlooked and a delusion was suspected. A thorough clinical examination is essential to avoid any misdiagnosis or to overlook correct treatment.
Etgen
Thorleif
T
Department of Neurology, Klinikum Traunstein, Germany. thorleif.etgen@klinikum-traunstein.de
Köhler
Michaela
M
Sander
Dirk
D
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications; D001488:Basilar Artery / Q000473:pathology / Q000503:physiopathology; D002545:Brain Ischemia / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D038524:Diffusion Magnetic Resonance Imaging; D007839:Functional Laterality / Q000502:physiology; D006423:Hemianopsia / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D020762:Infarction, Posterior Cerebral Artery / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D008297:Male; D020769:Posterior Cerebral Artery / Q000473:pathology / Q000503:physiopathology; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D015348:Vision, Binocular / Q000502:physiology; D014793:Visual Cortex / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D014794:Visual Fields / Q000502:physiology; D014795:Visual Pathways / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology
D000925:Anticoagulants