title: Acute inferior homonymous quandrantanopia in a 71-year-old woman.
abstract: A 71-year-old woman presented with acute inferior homonymous quadrantanopia initially mimicking acute ischemic stroke. As clinical signs and symptoms progressed to akinetic mutism with myoclonus the diagnosis of the Heidenhain variant of Creutzfeldt-Jakob disease was made. Brain MRI 4 days after symptom onset revealed ribbon-like high signal intensity in the medial occipital cortex.
authors.affiliation: Department of Neurology, Municipal Hospital Landshut, Robert-Koch Str. 1, Landshut 84034, Germany.
authors.forename: Ivana
authors.initials: I
authors.lastname: Vachalová
authors.affiliation: Department of Neurology, Municipal Hospital Landshut, Robert-Koch Str. 1, Landshut 84034, Germany.
authors.forename: Viola
authors.initials: V
authors.lastname: Gindl
authors.affiliation: Department of Neurology, Municipal Hospital Landshut, Robert-Koch Str. 1, Landshut 84034, Germany. Electronic address: josef.heckmann@klinikum-landshut.de.
authors.forename: Josef G
authors.initials: JG
authors.lastname: Heckmann
mesh_terms: D000368:Aged; D000405:Akinetic Mutism / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D007562:Creutzfeldt-Jakob Syndrome / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009207:Myoclonus / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D009778:Occipital Lobe / Q000473:pathology / Q000503:physiopathology; D020521:Stroke / Q000175:diagnosis; D014786:Vision Disorders / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D058609:Visual Field Tests
keywords: Creutzfeldt–Jakob disease; Heidenhain variant; Hemianopia; Quadrantanopia; Stroke mimics