Open AccessLeft Homonymous Hemianopia: An Uncommon, Neuro-ophthalmological Presentation of Hyperglycemic Hyperosmolar State
Author(s) -
Daniel Kashani,
Ganesh Keshav Thirunavukkarasu,
Saeed Javidi,
Leonel Mendoza,
Isabel M. McFarlane
Publication year - 2020
Publication title -
american journal of medical case reports
Language(s) - English
Resource type - Journals
eISSN - 2374-216X
pISSN - 2374-2151
DOI - 10.12691/ajmcr-8-12-8
Subject(s) - medicine , chorea , hemianopsia , coma (optics) , hemiparesis , hypoglycemia , presentation (obstetrics) , anesthesia , pediatrics , surgery , insulin , ophthalmology , lesion , visual field , physics , disease , optics
Spectrum of the neurological deficits in non-ketotic hyperglycemia and hyperosmolar hyperglycemic state (HHS) ranges widely among patients and can have any presentation from focal seizures, epilepsia partialis continua, chorea-hemiballismus syndrome, hemiparesis, hemianopia to mental obtundation and coma. Here we report a case of HHS which presented with Left Homonymous Hemianopia as the only initial presentation. Symptoms slowly resolved over the course of two weeks by administration of insulin and normalizing the glucose.