Isolated Bitemporal Hemianopsia Due to Traumatic Chiasmal Syndrome

Yazıcı, Bülent; Kıvanç, Sertaç Argun

doi:10.5505/tjtes.2015.90540

Cited by 3 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The onset of visual field loss is immediate but the detection is usually late as most patients require ventilatory support. Our patient showed improvement in visual acuity despite persistent bitemporal hemianopia similar to the previously reported case [ 9 ]. Previous studies found that patients with traumatic bitemporal hemianopia had frontal and anterior basal skull fractures associated with intracerebral and subarachnoid hemorrhage similar to our present case [ 2 , 5 ].…”

Section: Discussionsupporting

confidence: 90%

Isolated Traumatic Bitemporal Hemianopia

Fauzi¹,

Sharina²,

Ibrahim³

2021

Cureus

View full text Add to dashboard Cite

Bitemporal hemianopia is a rare presentation following severe head injury, which causes a delay in detection of the visual symptoms. This is a case of traumatic bitemporal hemianopia in a 20-year-old gentleman after an alleged motorbike accident. He was intubated following a severe head injury. The ophthalmologic assessment was performed after he regained consciousness and complained of acute blurring of vision in bilateral eyes. The visual acuity was 2/60 on the right eye and 4/60 on the left eye. Bilateral eyes anterior and posterior segments examination were unremarkable. Confrontation visual field testing discovered bitemporal hemianopia. Plain computed tomography (CT) scan of the brain showed right frontal bone fracture extending to the right orbital roof, superomedial wall of the right orbit, bilateral lamina papyracea, ethmoidal air cells, roof and bilateral walls of sphenoid sinus. He was treated conservatively by the ophthalmology team. Subsequent follow-ups showed improvement of visual acuity which were 6/6 on the right eye and 6/6 on the left eye. Humphrey visual field test confirmed the persistence of bitemporal hemianopia. His good visual acuity does not correlate with the severity of the field defect. Therefore, surveillance for bitemporal scotoma is necessary for all head injuries with severe midline facial bone fractures.

show abstract

Section: Discussionsupporting

confidence: 90%

Isolated Traumatic Bitemporal Hemianopia

Fauzi¹,

Sharina²,

Ibrahim³

2021

Cureus

View full text Add to dashboard Cite

show abstract

“… Vora et al 9 26 M Motor vehicle accident RE 6/6, LE 6/36 Complete bitemporal hemianopia CSF rhinorrhea Midline frontal bone fracture, basi sphenoid fracture, intraparenchymal hematoma in left frontal region Central chiasmal contusion with thinning of nasal fibres Vision improved to 6/6 both eyes but no improvement in fields 10. Yazici et al 10 20 M Motor vehicle accident BE 20/20 Bitemporal hemianopia Exotropia with RE fixation. Fracture frontal, ethmoid and maxillary, fracture in the sellar region of sphenoid bone, air in the orbit and cranium Thinning, shape deformity in the optic chiasm No change in visual fields Abbreviations:RE = right eye; LE = left eye; BE = both eyes; M = male; CT = computed tomography; MRI = magnetic resonance imaging; CSF = cerebrospinal fluid.…”

Section: Resultsmentioning

confidence: 99%

Traumatic chiasmal syndrome: A meta-analysis

Mookan

Thomas

Harwani

2018

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

PurposeTo report a case presenting with bitemporal hemianopia due to traumatic chiasmal syndrome after head injury, and to compare the findings with individual case reports published in the literature.MethodsA detailed search was made in PubMed, MedIND, Taylor and Francis online and Wiley online library databases for individual case reports of traumatic chiasmal syndrome. All the case reports were read in full and the findings summarized in a table, which included details of the case who presented with bitemporal hemianopia as an index case.ResultsAll published cases of traumatic chiasmal syndrome appear to share some common features, such as injury to the frontal bone and fracture of the anterior skull base. Bitemporal hemianopia and visual acuity have a variable presentation, and do not appear to correlate with severity of injury. Isolated bitemporal hemianopia is rare and clinical improvement may or may not occur.Conclusions and importanceTraumatic chiasmal syndrome should be considered as a differential diagnosis in patients presenting with bitemporal hemianopia after head injury causing frontal and anterior skull base fracture.

show abstract

Homonymous hemianopsia versus unilateral spatial neglect rehabilitation strategies in stroke patients

Bulboacă

Stănescu

et al. 2019

BALNEO

View full text Add to dashboard Cite

Visual rehabilitation therapy is one of the most problematic issue in stroke rehabilitation. The difficulties consist in specific assessment of visual deficit and poor results reports by the authors of the clinical studies. Opposite, experimental studies reports encouraging results that give hopes in this specific rehabilitation therapy. There are still difficult to analyze different aquisitions concerning various visual residual deficits after stroke, the main rehabilitation targgets being motor rehabilitation in order to ensure at least a partial autonomy in day by day life. All the studies that proved there are chances for a better quality of life if there is an improvement of visual abilities together with motor and cognitive skills with a better rehabilitation prognosis. The aim of this paper is to make a brief report regarding two of the most important visual deficits after stroke as are homonymous hemianopsia and neglect. Starting with differential diagnosis, neuroplasticity and specific rehabilitation available method, the main issues are discussed. a better understanding of phenomena that are associated with spontaneous rehabilitation, or enhancing the progress of recuperation by various method, could be able to bring a new light and hopefully better results in rehabilitation for these patients Key words: stroke, visual impairment, visual rehabilitation, neuroplasticity, homonymous hemianopsia,

show abstract

Isolated Bitemporal Hemianopsia Due to Traumatic Chiasmal Syndrome

Cited by 3 publications

References 8 publications

Isolated Traumatic Bitemporal Hemianopia

Isolated Traumatic Bitemporal Hemianopia

Traumatic chiasmal syndrome: A meta-analysis

Homonymous hemianopsia versus unilateral spatial neglect rehabilitation strategies in stroke patients

Contact Info

Product

Resources

About