Homonymous Hemianopia in Mu1tiple Sclerosis

Chamlin, Max; Davidoff, Leo M.

doi:10.1212/wnl.4.6.429

Cited by 10 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Magnetic resonance imaging ( I . 5 T, T2-weighted image, TR 3000 ms, TE 98 ms) shows a large hyperintense lesion involving the right internal capsule, centrum semiovale, and corona radiata. A second smaller lesion can be seen in the corpus callosum (arrow).…”

Section: Discussionmentioning

confidence: 99%

Hemiparesis and homonymous hemianopia as the presenting sign of multiple sclerosis

Waldvogel

Sturzenegger

Ozdoba

et al. 1997

Neuro-Ophthalmology

View full text Add to dashboard Cite

We report two young patients presenting with acute homonymow hemianopia and acute severe hemiparesis involving the face, The diagnostic work-up led to the diagnosis of multiple sclerosis.Clinically symptomatic retrochiasmal demyelinating lesions are rare even in the long-term course of multiple sclerosis and those affecting the pyramidal tract usually produce only mild partial dysfunction with bilateral symptoms due to brainstem or spinal cord involvement. Acute homonymous hemianopia or motor hemiparesis first suggest another etiology than multiple sclerosis, particularly a vascular lesion. MRI is the investigation of choice in this clinical setting, showing an unusually large lesion in most cases where a demyelination is the cause. Clinical recovery nevertheless is usually excellent, despite persistence of the lesion on repeated imaging. This contrasts with that of an infarction and also with that of acute monophasic demyelinating disease (Marburg, Balo), variants of multiple sclerosis that need to be considered initially.

show abstract

Section: Discussionmentioning

confidence: 99%

Hemiparesis and homonymous hemianopia as the presenting sign of multiple sclerosis

Waldvogel

Sturzenegger

Ozdoba

et al. 1997

Neuro-Ophthalmology

View full text Add to dashboard Cite

show abstract

“…If retrochiasmal involvement of the visual pathways occurs late in the disease, it may be, as suggested by Chamlin and Davidoff (1954), that 'other manifestations of the disease may be severe and numerous enough to cloud a mere hemianopic defect and that perhaps such field defects therefore go unnoticed. '…”

Section: Discussionmentioning

confidence: 99%

“…Symptomatic chiasmal and retrochiasmal involvement is infrequent. Complete homonymous hemianopias (Bielschowsky, 1933;Boldt, Haerer, Tourtellotte, Henderson, and DeJong, I963;Chamlin and Davidoff, 1954; Kahana, Leibowitz, and Alter, 1971;Luhan, I944; Vedel-Jensen, I959), quadrantic defects (Bjerrum, I890;Boldt and others, i963;Chamlin and Davidoff, I954;Franqois and Verriest, 1957;Ronne, 1912, I915;Traquair, 1942,) homonymous scotomas (Boldt and others, I963;Chamlin and Davidoff, 1954; Franqois and Verriest, I957; Otradovec, I965; Ronne, 1912, 19I5;Traquair, I942;Vedel-Jensen, 1959), and other unspecified types of homonymous defects (Croll, i965;Kurtzke, Beebe, Nagler, Auth, Kurland, and Nefzger, I968;Leinfelder, 1950;MUller, 1949) have been found in up to 3-5 per cent of cases (Boldt and others, I 963;Croll, I 965;Kahana and others, 1971;Kurtzke and others, I968;Leinfelder, 1950;Muller, 1949;Savitsky and Rangell, 195ob). One of Bielschowsky's cases had bilateral involvement at different times (Bielschowsky, 1933).…”

mentioning

confidence: 99%

Homonymous hemianopia in multiple sclerosis. With report of bilateral case.

Hawkins¹,

Behrens²

1975

British Journal of Ophthalmology

View full text Add to dashboard Cite

Optic neuritis is common in multiple sclerosis, occurring in 22-83 per cent ofpatients (Carter, Sciarra, and Merritt, I950; Chamlin, 1953; Leinfelder, 1950;Marshall, 1950; Savitsky and Rangell, I95oa; Zeller, I967 Ronne, 1912, 19I5; Traquair, I942; Vedel-Jensen, 1959), and other unspecified types of homonymous defects (Croll, i965; Kurtzke, Beebe, Nagler, Auth, Kurland, and Nefzger, I968; Leinfelder, 1950; MUller, 1949) Savitsky and Rangell, 195ob). One of Bielschowsky's cases had bilateral involvement at different times (Bielschowsky, 1933).We reviewed the records of 344 patients all of whom had been discharged from the ColumbiaPresbyterian Medical Center from I962 to 1970 with a diagnosis of multiple sclerosis. In 300 of these, the diagnosis was considered to be valid on the basis of characteristic clinical presentation and course. Among these patients there were 40 with observed optic neuritis, 83 with history suggestive of optic neuritis, and 5 I without such a history but with optic disc pallor. In the entire group of 300 patients, only four had homonymous visual field defects, an incidence of I-3 per cent.A patient was recently seen with simultaneous bilateral homonymous hemianopic defects. This unique case is reported in detail and the infrequent (Figure).

show abstract

Baseline Visual Field Profile of Optic Neuritis

Keltner¹

1993

Arch Ophthalmol

176

View full text Add to dashboard Cite

Homonymous Hemianopia in Mu1tiple Sclerosis

Cited by 10 publications

References 0 publications

Hemiparesis and homonymous hemianopia as the presenting sign of multiple sclerosis

Hemiparesis and homonymous hemianopia as the presenting sign of multiple sclerosis

Homonymous hemianopia in multiple sclerosis. With report of bilateral case.

Baseline Visual Field Profile of Optic Neuritis

Contact Info

Product

Resources

About