An interesting case of functional visual loss presenting as a left homonymous hemianopia

Purpose: To report a case of a 56-year-old male with right homonymous hemianopia. Methods: Retrospective descriptive study of a case report based on information from clinical records, patient observation and analysis of complementary diagnostic tests. Results: An asymptomatic 56-year-old male presented to our hospital for a routine ophthalmic examination. The best-corrected visual acuity was 20/20 in the right eye (RE) and in the left eye (LE). Pupillary function, intraocular pressure, external segment examinations and slit-lamp biomicroscopy were normal, bilaterally. Fundoscopy showed a cup-to-disc (C/D) ratio in the RE of 0.3 and of 0.4 in the LE. Retinal nerve fiber layer (RNFL) thickness measured by spectral domain optical coherence tomography revealed thinning of the superior, temporal and nasal RNFL in the RE and thinning of the superior, inferior and temporal RNFL in the LE. Automated static perimetry showed right homonymous hemianopia. Brain computed tomography (CT) showed an open-lip schizencephaly with a significant reduction of the left brain parenchyma. Conclusions: Despite the large visual defect, the patient was unaware of it and had an active professional life. This is an interesting case because despite the extensive morphological abnormalities seen on brain CT there is a relatively small functional repercussion.

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Interesting case of sudden unilateral blindness in a teenager: role of psychological intervention in psychogenic visual loss

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20191446 ◽

2019 ◽

Vol 6 (3) ◽

pp. 947

Author(s):

Motssim S. Halawani

Keyword(s):

Visual Loss ◽

Psychological Intervention ◽

Interesting Case ◽

Psychological Therapy ◽

Psychiatric History

Visual loss complaints are commonly encountered by treating physicians, neurologist and ophthalmologists. More specifically a presentation of non-organic (psychogenic) blindness is less frequently seen but does exist and requires proper evaluation and specific skills for it to be properly managed. This case is of a 19 years old male who presented with acute monocular blindness post trauma whom he also had past psychiatric history. Post thorough assessment, no organic cause was identified, and a diagnosis of psychogenic blindness was made. Psychological therapy was beneficial in aiding return of his vision.

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Visual Loss, Homonymous Hemianopia, and Unilateral Optic Neuropathy as the Presenting Symptoms of Vertebrobasilar Dolichoectasia

Case Reports in Ophthalmological Medicine ◽

10.1155/2013/562397 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

Panteleimon Mortzos ◽

Torben Lykke Sørensen

Keyword(s):

Optic Neuropathy ◽

Cranial Nerve ◽

Visual Loss ◽

Visual Pathway ◽

Rare Disorder ◽

Homonymous Hemianopia ◽

Cranial Nerve Involvement ◽

Presenting Symptoms ◽

Nerve Involvement ◽

Vertebrobasilar Dolichoectasia

Vertebrobasilar dolichoectasia (VBD) is a relatively rare disorder for which unfortunately there is no treatment. Here we describe a case of simultaneous pre- and postchiasmal visual pathway pathology secondary to a space occupying VBD. In addition our patient demonstrates one of the very few cases of VBD compression of the retrochiasmal pathway with no other cranial nerve involvement.

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An interesting case report of delayed presentation of visual loss from an Ethmoid Mucocoele. Should we offer emergency decompression?

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.105744 ◽

2021 ◽

Vol 81 ◽

pp. 105744

Author(s):

Amit Raithatha ◽

Paula Coyle ◽

Rishi Talwar ◽

Andrew Dias

Keyword(s):

Case Report ◽

Visual Loss ◽

Interesting Case ◽

Delayed Presentation

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Abstract #703: Idiopathic Hypoparathyroidism Associated with Deafness; Renal Anomaly: An Interesting Case of HDR (Hypoparathyroidism; Deafness and Renal Anomaly) Syndrome

Endocrine Practice ◽

10.1016/s1530-891x(20)44498-2 ◽

2017 ◽

Vol 23 ◽

pp. 132-133

Author(s):

Shilpi Singh ◽

Andrea George ◽

Arjun Theertham ◽

Mohsen Zena ◽

John Christopher Gallagher

Keyword(s):

Interesting Case ◽

Renal Anomaly

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The Effect of Ruboxistaurin on Visual Loss in Patients With Moderately Severe to Very Severe Nonproliferative Diabetic Retinopathy: Initial Results of the Protein Kinase C β Inhibitor Diabetic Retinopathy Study (PKCDRS) Multicenter Randomized Clinical Trial

Yearbook of Endocrinology ◽

10.1016/s0084-3741(08)70269-5 ◽

2006 ◽

Vol 2006 ◽

pp. 27-28

Author(s):

L. Kennedy

Keyword(s):

Clinical Trial ◽

Diabetic Retinopathy ◽

Protein Kinase C ◽

Protein Kinase ◽

Randomized Clinical Trial ◽

Visual Loss ◽

Nonproliferative Diabetic Retinopathy ◽

Kinase C ◽

Initial Results

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Three Cases of Joubert Syndrome in a Consanguineous Syrian Family and a Interesting Case of Multinational Collaboration

Journal of Pediatric Genetics ◽

10.1055/s-0040-1721826 ◽

2021 ◽

Author(s):

Davor Petrović ◽

Vida Čulić ◽

Zofia Swinderek-Alsayed

Keyword(s):

Low Income ◽

Autosomal Recessive ◽

Autosomal Recessive Disorder ◽

Joubert Syndrome ◽

Interesting Case ◽

Low Income Countries ◽

Ocular Motor ◽

Quality Health Care ◽

Quality Health ◽

Motor Apraxia

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.

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2018 Fiji Election Results: Patterns of Voting by Provinces, Rural-Urban Localities, and by Candidates

The Journal of Pacific Studies ◽

10.33318/jpacs.2020.40(2)-3 ◽

2020 ◽

Vol 40 (2) ◽

Author(s):

Haruo Nakagawa

Keyword(s):

Political Parties ◽

Electoral System ◽

Interesting Case ◽

The Political ◽

Quantitative Analyses ◽

Election Results

Akin to the previous, 2014 event, with no data on voter ethnicity, no exit polls, and few post-election analyses, the 2018 Fiji election results remain something of a mystery despite the fact that there had been a significant swing in voting in favour of Opposition political parties. There have been several studies about the election results, but most of them have been done without much quantitative analyses. This study examines voting patterns of Fiji’s 2018 election by provinces, and rural-urban localities, as well as by candidates, and also compares the 2018 and 2014 elections by spending a substantial time classifying officially released data by polling stations and individual candidates. Some of the data are then further aggregated according to the political parties to which those candidates belonged. The current electoral system in Fiji is a version of a proportional system, but its use is rare and this study will provide an interesting case study of the Open List Proportional System. At the end of the analyses, this study considers possible reasons for the swing in favour of the Opposition.

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