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Homonymous Central Quadrantanopia Caused by an Extrastriate (V2/V3) Infarction: A Case Report
Author(s) -
Lin ShuFang,
Kuo YuTing,
Chang FangLing,
Tsai RongKung
Publication year - 2008
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(08)70168-2
Subject(s) - medicine , extrastriate cortex , blurred vision , magnetic resonance imaging , ophthalmology , infarction , visual acuity , anatomy , cardiology , visual cortex , radiology , neuroscience , myocardial infarction , biology
A 66‐year‐old Taiwanese aboriginal male had complained of right‐side blurred vision for 2 months, especially when reading. He had a 10‐year history of hypertension and cardiovascular disease. His best‐corrected visual acuity was 20/25 in each eye. Ophthalmoscopy revealed asymmetrical cupping, but a normal disc. Humphrey perimetry showed an upper homonymous para‐central quadrantanopic defect. Brain magnetic resonance imaging showed an infarction in the left lower calcarine area over the extrastriate (V2/V3) cortical area and a narrowing of the left middle and posterior cerebral arteries due to severe arteriosclerosis.

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