Neurosyphilis With Unilateral Optic Tract Lesion Causing Homonymous Hemianopia

Abstract

Neurosyphilis should be added to the list of differential diagnoses for an isolated optic tract lesion.

Bilateral Optic Tract Enhancement

“…[ 3 ] Hemianopia with unilateral optic tract gumma has been reported in a single patient from Japan. [ 4 ] Interestingly, our patient had no objective visual field defects on testing. Our case highlights that a high degree of suspicion and meticulous history-taking are indispensable tools that can aid in the diagnosis of this rare but treatable neurological illness in the modern era.…”