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MeSH Review


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Disease relevance of Hemianopsia

  • BACKGROUND AND PURPOSE: Patients with hemiparesis, hemisensory loss, and hemianopsia ("HHH" deficits) due to stroke may have large cortical lesions caused by middle cerebral trunk vessel occlusion or smaller subcortical lesions due to lenticulostriate involvement [1].
  • RESULTS: In no patient had the involvement of the anterior choroidal territory infarcts been recognized clinically, nor had the triad of clinical signs (hemiplegia, hemianesthesia, and hemianopsia) classically seen in infarcts restricted to this territory been found alone [2].
  • CASE DESCRIPTION: We studied a 24-year-old man with MELAS who had fluent aphasia and right hemianopia [3].
  • In addition, horizontal bar bisection showed a shift of the egocentric midline towards the scotoma in all four patients with left- or right-sided homonymous hemianopia [4].
  • A 39-year-old woman experienced severe headache, epilepsy and rapidly progressive aphasia and hemianopia [5].

Psychiatry related information on Hemianopsia

  • The controversial history of functional hemianopsia is reviewed from Briquet's 1859 monograph on 430 cases of hysteria, through the 19th century works of Charcot, Freud, and Janet, and the observations of Fox and Wilbrand and Saenger in the early 20th century [6].
  • CONCLUSIONS: The low glucose metabolism in the right visual cortex explains the persistent left hemianopia, and that in the right anterior cingulate gyrus and the right temporal-parietal-occipital junction may be responsible for the left hemispatial neglect [7].

High impact information on Hemianopsia


Chemical compound and disease context of Hemianopsia


Biological context of Hemianopsia


Anatomical context of Hemianopsia


Gene context of Hemianopsia

  • Other individual features atypical for LHON included lack of the characteristic LHON funduscopic appearance, bitemporal hemianopia, optic disc cupping, and premonitory episodes of transient visual loss [23].
  • Also, test locations along the vertical midline in densely hemianopic areas were seen with FDT testing in some patients with hemianopia, probably due to light scatter across the vertical midline and into the uninvolved hemianopic field [24].
  • The authors describe the case of a 36-year-old man who presented with bitemporal hemianopsia and a serum prolactin concentration of 1440 ng/ml [25].
  • Lower altitudinal bilateral hemianopsia in a patient with moyamoya disease [26].
  • After experiencing an initial coma for several days, the patient was found to have a right-sided homonymous hemianopsia and a right hemiparesis, which was more marked at the shoulder and was accompanied by preservation of finger movement [27].

Analytical, diagnostic and therapeutic context of Hemianopsia


  1. Functional outcome for patients with hemiparesis, hemihypesthesia, and hemianopsia. Does lesion location matter? Dromerick, A.W., Reding, M.J. Stroke (1995) [Pubmed]
  2. Massive infarcts involving the territory of the anterior choroidal artery and cardioembolism. Levy, R., Duyckaerts, C., Hauw, J.J. Stroke (1995) [Pubmed]
  3. Cerebral hyperemia in MELAS. Gropen, T.I., Prohovnik, I., Tatemichi, T.K., Hirano, M. Stroke (1994) [Pubmed]
  4. Displacement of the egocentric visual midline in altitudinal postchiasmatic scotomata. Kerkhoff, G. Neuropsychologia. (1993) [Pubmed]
  5. Isolated benign cerebral vasculitis or migrainous vasospasm? Serdaru, M., Chiras, J., Cujas, M., Lhermitte, F. J. Neurol. Neurosurg. Psychiatr. (1984) [Pubmed]
  6. Functional hemianopsia: a historical perspective. Gittinger, J.W. Survey of ophthalmology. (1988) [Pubmed]
  7. Neuroimaging analysis of a case with left homonymous hemianopia and left hemispatial neglect. Mizoguchi, S., Suzuki, Y., Kiyosawa, M., Mochizuki, M., Ishii, K. Jpn. J. Ophthalmol. (2003) [Pubmed]
  8. Middle cerebral artery strokes causing homonymous hemianopia: positron emission tomography. Kiyosawa, M., Bosley, T.M., Kushner, M., Jamieson, D., Alavi, A., Reivich, M. Ann. Neurol. (1990) [Pubmed]
  9. Transient left homonymous hemianopsia and encephalopathy following treatment of testicular carcinoma with cisplatinum, vinblastine, and bleomycin. Cohen, R.J., Cuneo, R.A., Cruciger, M.P., Jackman, A.E. J. Clin. Oncol. (1983) [Pubmed]
  10. Chiasmal syndrome due to intrasellar abscess. Neelon, F.A., Mahaley, M.S. Arch. Intern. Med. (1976) [Pubmed]
  11. Cortical dysplasia with angiodysgenesis and chronic inflammation in multifocal partial epilepsy. Thom, M., Moran, N.F., Plant, G.T., Stevens, J.M., Scaravilli, F. Neurology (1999) [Pubmed]
  12. Patients with stroke confined to basal ganglia have diminished response to rehabilitation efforts. Miyai, I., Blau, A.D., Reding, M.J., Volpe, B.T. Neurology (1997) [Pubmed]
  13. Detection of visual field defects in patients after anterior temporal lobectomy for mesial temporal sclerosis-establishing eligibility to drive. Pathak-Ray, V., Ray, A., Walters, R., Hatfield, R. Eye (London, England) (2002) [Pubmed]
  14. Transient homonymous hemianopia and positive visual phenomena in nonketotic hyperglycemic patients. Freedman, K.A., Polepalle, S. Am. J. Ophthalmol. (2004) [Pubmed]
  15. Two spatio-temporal filters in human vision. 2. Selective modification in amblyopia, albinism, and hemianopia. Grounds, A.R., Holliday, I.E., Ruddock, K.H. Biological cybernetics. (1983) [Pubmed]
  16. Diffusion-weighted imaging-guided resection of intracerebral lesions involving the optic radiation. Coenen, V.A., Huber, K.K., Krings, T., Weidemann, J., Gilsbach, J.M., Rohde, V. Neurosurgical review. (2005) [Pubmed]
  17. Eye-movement patterns do not mediate size distortion effects in hemispatial neglect: looking without seeing. Harvey, M., Gilchrist, I.D., Olk, B., Muir, K. Neuropsychologia. (2003) [Pubmed]
  18. Rapid change in visual fields associated with suprasellar lymphocytic hypophysitis. Stelmach, M., O'Day, J. Journal of clinical neuro-ophthalmology. (1991) [Pubmed]
  19. Ocular manifestations of carotid artery atheroma. Kirshner, R.L., Green, R.M., Searl, S.S., DeWeese, J.A. J. Vasc. Surg. (1985) [Pubmed]
  20. Immature teratoma originating from the pituitary gland: case report. Nishioka, H., Ito, H., Haraoka, J., Akada, K. Neurosurgery (1999) [Pubmed]
  21. The Rehabilitation Activities Profile: a validation study of its use as a disability index with stroke patients. van Bennekom, C.A., Jelles, F., Lankhorst, G.J., Bouter, L.M. Archives of physical medicine and rehabilitation. (1995) [Pubmed]
  22. Evaluation of a comprehensive assessment battery for stroke patients. Gibson, L., MacLennan, W.J., Gray, C., Pentland, B. International journal of rehabilitation research. Internationale Zeitschrift für Rehabilitationsforschung. Revue internationale de recherches de réadaptation. (1991) [Pubmed]
  23. Atypical Leber's hereditary optic neuropathy with molecular confirmation. Weiner, N.C., Newman, N.J., Lessell, S., Johns, D.R., Lott, M.T., Wallace, D.C. Arch. Neurol. (1993) [Pubmed]
  24. Sensitivity and specificity of frequency doubling perimetry in neuro-ophthalmic disorders: a comparison with conventional automated perimetry. Wall, M., Neahring, R.K., Woodward, K.R. Invest. Ophthalmol. Vis. Sci. (2002) [Pubmed]
  25. Gangliocytoma masquerading as a prolactinoma. Case report. McCowen, K.C., Glickman, J.N., Black, P.M., Zervas, N.T., Lidov, H.G., Garber, J.R. J. Neurosurg. (1999) [Pubmed]
  26. Lower altitudinal bilateral hemianopsia in a patient with moyamoya disease. Kaneko, A., Irino, S., Tomioka, R., Nomura, K., Kumaido, Y., Matsutani, M., Kubo, H., Shimazu, K. J. Neurol. (2000) [Pubmed]
  27. Delayed onset of hemidystonia and hemiballismus following head injury: a clinicopathological correlation. Case report. King, R.B., Fuller, C., Collins, G.H. J. Neurosurg. (2001) [Pubmed]
  28. The triad of left hemiplegia, hemihypesthesia, and homonymous hemianopsia: implications for rehabilitation. Nepomuceno, C.S., Hamilton, S., Kelly, P.A., Dasher, C., Dietzen, C.J., DeVivo, M.J., Faught, R.E. South. Med. J. (1994) [Pubmed]
  29. Cerebral trypanosomiasis and AIDS. Antunes, A.C., Cecchini, F.M., Bolli, F.B., Oliveira, P.P., Reboucas, R.G., Monte, T.L., Fricke, D. Arquivos de neuro-psiquiatria. (2002) [Pubmed]
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