MedPix® Medical Image DatabaseDisease Topic 2682
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Contributor: James G. Smirniotopoulos, M.D. - Uniformed Services University
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More Like This ? Visual Fields, Differential Diagnosis
Factoid 2682 - Created: 2001-08-11 06:45:00-04 - Modified: 2011-11-04 12:31:47-04
ACR Codes: 1.1
Monocular Blindness - Optic nerve proximal to Chiasm
  • Retinal Detachment
  • Central Retinal Artery/Vein Occlusion
  • Optic Neuritis
  • Trauma
  • Tumor

    Bitemporal Hemianopsia - Suprasellar lesion behind chiasm
  • Pituitary Adenoma

    Homonymous Hemianoposia - Distal to Chiasm:
  • 40% Occipital, 25% Temporal, 5% optic tract and LGB
  • 70% infarcts, 15% neoplasms, 5% hemorrhage, ??% trauma
    >>>PCA infarct
    >>>MCA infarct
    >>>AChA infarct (Eur Neurol 2000;43(1):35-8)
    >>>Watershed Infarcts (Acta Med Scand 1984;216(4):417-22)
    >>>Carotid Dissection (J Neuroophthalmol 1999 Jun;19(2):136-9)
    >>>Chiropractic Manipulation (Am J Ophthalmol 1997 Jun;123(6):851-2)
  • Lateral Geniculate Body (LGB)
  • Occipital Infarct
    >>>Unilateral progressing to Bilateral (J Neurol Neurosurg Psychiatry 1983 Jan;46(1):78-80)

    Quandrantanopsia - Optic Radiations distal to LGB (Lateral Geniculate Body)

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    • Reference(s):
    J Neurol Neurosurg Psychiatry 1983 Jan;46(1):78-80
    Acta Med Scand 1984;216(4):417-22
    Br J Ophthalmol 1997;81:324-328 ( April )
    Am J Ophthalmol 1997 Jun;123(6):851-2
    J Neuroophthalmol 1999 Jun;19(2):136-9
    Eur Neurol 2000;43(1):35-8
    AJNR Am J Neuroradiol 2001 Jun-Jul;22(6):1043-9
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    Location:
    Brain and Neuro     		Sublocation:
    Cranial Nerve    		Category:
    Differential Diagnosis
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    Prepared by: James G. Smirniotopoulos, M.D.
    Affiliation: Uniformed Services University - || - Author Profile
    Approved by: James George Smirniotopoulos, M.D.
    Affiliation: Uniformed Services University - || - Editor Profile
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