Clinical Reasoning: An 80-Year-Old Woman With a Homonymous Hemianopsia

Deena Tajfirouz; John J. Chen; M. Tariq Bhatti

doi:10.1212/WNL.0000000000201175

Clinical Reasoning: An 80-Year-Old Woman With a Homonymous Hemianopsia

Deena Tajfirouz, John J. Chen, M. Tariq Bhatti

Ophthalmology

Research output: Contribution to journal › Article › peer-review

Abstract

An 80-year-old woman who was experiencing visual symptoms for 2 years was found to have a left homonymous hemianopsia (HH). On further evaluation the following month, she was noted to have simultanagnosia and alexia. MRI of the brain did not reveal a structural etiology for the symptoms. [18F]-fluorodeoxyglucose (FDG) PET-CT was performed to aid in the diagnostic investigation. This case of posterior cortical atrophy highlights the differential diagnosis of a HH in the absence of a structural lesion on MRI and the role of FDG PET-CT imaging in such patients.

Original language	English (US)
Pages (from-to)	713-717
Number of pages	5
Journal	Neurology
Volume	99
Issue number	16
DOIs	https://doi.org/10.1212/WNL.0000000000201175
State	Published - Oct 18 2022

ASJC Scopus subject areas

Clinical Neurology

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abstract = "An 80-year-old woman who was experiencing visual symptoms for 2 years was found to have a left homonymous hemianopsia (HH). On further evaluation the following month, she was noted to have simultanagnosia and alexia. MRI of the brain did not reveal a structural etiology for the symptoms. [18F]-fluorodeoxyglucose (FDG) PET-CT was performed to aid in the diagnostic investigation. This case of posterior cortical atrophy highlights the differential diagnosis of a HH in the absence of a structural lesion on MRI and the role of FDG PET-CT imaging in such patients.",

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N2 - An 80-year-old woman who was experiencing visual symptoms for 2 years was found to have a left homonymous hemianopsia (HH). On further evaluation the following month, she was noted to have simultanagnosia and alexia. MRI of the brain did not reveal a structural etiology for the symptoms. [18F]-fluorodeoxyglucose (FDG) PET-CT was performed to aid in the diagnostic investigation. This case of posterior cortical atrophy highlights the differential diagnosis of a HH in the absence of a structural lesion on MRI and the role of FDG PET-CT imaging in such patients.

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Clinical Reasoning: An 80-Year-Old Woman With a Homonymous Hemianopsia

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