We have presented a patient with a relatively rare syndrome of alexia without agraphia, which occurs as a consequence of vascular lesion in the left medial occipitotemporal gyrus and splenium of corpus callosum (Figures 1, 2 and 3) with abnormalities in the visual field (right sided homonymous hemianopsia
), visual agnosia and anomia for colors, objects and numbers [2, 7], with all modalities of writing preserved.
This is a rare case of metastatic small cell lung cancer with initial clinical presentation of bitemporal hemianopsia
related to pituitary metastasis.
Adults with hemianopsia
performing the line bisection test show an inverse pattern compared to adults with hemineglect [57-61].
Ocular involvement may present in the form of choroidal angioma, glaucoma, hemianopsia
, or buphthalmos (enlargement of the coating of the eye).
Warren, M, 2009, Pilot study on activities of daily living limitations in adults with hemianopsia
. American Journal of Occupational Therapy, 63(5), 626-633.
As a result of stroke, he presents hemiplegia, hemiparesis, homonymous hemianopsia
, ataxia, dysarthria, hypotonia, postural imbalance; making difficult to exercise the social function assigned before the neurological episode, demonstrating resentful, angry, feeling guilty and sad.
New cortical signs (aphasia, agnosia, apraxia, sensory neglect, visual neglect, seizure, hemianopsia
However, since bilateral thalamotomy operations are reported to mostly cause aphasia and complications, including ataxia, motor deficit, cognitive deterioration, dysphagia, homonym hemianopsia
, and facial paresis, it is no longer performed (20).
Neuro-ophthalmological evaluation revealed that the patient had slight bitemporal hemianopsia
. Hormone levels and biomarkers of gonioma were with normal ranges.
Visual field defect is most frequently in the form of bitemporal hemianopsia
and superior temporal defect.
Blurred vision, homonymous hemianopsia
as well as cortical blindness in some cases are common manifestations of the visual disturbance.
For example, a patient who has had a stroke with a resultant left homonymous hemianopsia
will interact and communicate with the world differently, and accommodations will undoubtedly be necessitated.