Callosal Conundrum: Conflicting Perimetry Results after Corpus Callosotomy

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Identifier 20130212_nanos_posters_087
Title Callosal Conundrum: Conflicting Perimetry Results after Corpus Callosotomy
Creator Timothy J. Martin; Elizabeth F. Martin
Affiliation (TJM) Wake Forest University School of Medicine/Department of Ophthalmology, Winston-Salem, NC; (EFM) Wake Forest University School of Medicine, Winston-Salem, NC
Subject Visual Field Testing; Disconnection Syndrome; Vigabatrin; Homonymous Hemianopia
Description A 49 y/o male had a corpus callosotomy for intractable seizures. The patient was started on Vigabatrin, necessitating visual field testing. Confrontation visual field (CVF) testing revealed a left homonymous hemianopia (LHH). Paradoxically, automated visual fields (HVF 30-2) showed a dense right homonymous hemianopia (RHH). CVF requiring the patient to mimic the examiner's fingers produced a crossed hemianopia RHH when he used his left hand, and LHH when he used his right hand. These conflicting visual field defects were suspected to be an artifact of the patient's disconnection syndrome. Additional visual field tests were performed to explore these 'switching' homonymous defects. (The patient consented to videotaping. Portions of his examination will be shown.)
Date 2013-02-12
Language eng
Format application/pdf
Type Text
Source 2013 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS 2013: Poster Presentations
Collection Neuro-Ophthalmology Virtual Education Library: NANOS Annual Meeting Collection: https://novel.utah.edu/collection/nanos-annual-meeting-collection/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s64b670c
Setname ehsl_novel_nam
ID 183333
Reference URL https://collections.lib.utah.edu/ark:/87278/s64b670c
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