Journal of Stroke & Cerebrovascular Diseases
Volume 19, Issue 2 , Pages 165-166, March 2010

Bilateral Superior Altitudinal Hemianopia: Missing the Goal, but Hitting the Stroke Cause

  • Thorleif Etgen, MD

      Affiliations

    • Department of Neurology, Klinikum Traunstein, Germany
    • Department of Psychiatry and Psychotherapy, Technische Universität München, Germany
    • Corresponding Author InformationAddress correspondence to Thorleif Etgen, MD, Department of Neurology, Klinikum Traunstein, Cuno-Niggl-Strasse 3, 83278 Traunstein, Germany.
    • ,
  • Michaela Köhler, MD

      Affiliations

    • Department of Neurology, Klinikum Traunstein, Germany
    • ,
  • Dirk Sander, MD

      Affiliations

    • Department of Neurology, Medical Park Hospital, Bischofswiesen, Germany
    • Department of Neurology, Technische Universität München, Germany

Received 14 February 2009; received in revised form 10 March 2009; accepted 17 March 2009.

Bilateral superior altitudinal hemianopia is an uncommon clinical presentation of ischemic stroke. We report a patient who had an ischemic stroke with a pure bilateral superior altitudinal hemianopia resulting from bilateral ischemia in the optic radiation. This symptom was first overlooked and a delusion was suspected. A thorough clinical examination is essential to avoid any misdiagnosis or to overlook correct treatment.

Key Words: Altitudinal hemianopia, stroke, diffusion-weighted imaging, neuro-ophthalmology

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PII: S1052-3057(09)00070-6

doi:10.1016/j.jstrokecerebrovasdis.2009.03.018

Journal of Stroke & Cerebrovascular Diseases
Volume 19, Issue 2 , Pages 165-166, March 2010

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