TY - JOUR
T1 - Homonymous hemimacular thinning
T2 - A unique presentation of optic tract injury in neuromyelitis optica
AU - Romero, Rebecca S.
AU - Gutierrez, Ismael
AU - Wang, Eugene
AU - Reder, Anthony T.
AU - Bhatti, M. Tariq
AU - Bernard, Jacqueline T.
AU - Javed, Adil
PY - 2012/6
Y1 - 2012/6
N2 - A 42-year-old African American woman with a 5-year history of neuromyelitis optica was found to have an incongruous homonymous hemianopia. Optical coherence tomography (OCT) showed corresponding left homonymous hemimacular thinning. Magnetic resonance imaging of the brain demonstrated a demyelinating lesion in the left optic tract (OT) just anterior to the lateral geniculate nucleus and diffusion tensor magnetic resonance tractography confirmed axonal fiber loss in the left OT. This case illustrates the complementary and confirmatory roles of visual field testing, macular OCT, and neuroimaging in an OT lesion, which caused selective hemimacular thinning through retrograde degeneration.
AB - A 42-year-old African American woman with a 5-year history of neuromyelitis optica was found to have an incongruous homonymous hemianopia. Optical coherence tomography (OCT) showed corresponding left homonymous hemimacular thinning. Magnetic resonance imaging of the brain demonstrated a demyelinating lesion in the left optic tract (OT) just anterior to the lateral geniculate nucleus and diffusion tensor magnetic resonance tractography confirmed axonal fiber loss in the left OT. This case illustrates the complementary and confirmatory roles of visual field testing, macular OCT, and neuroimaging in an OT lesion, which caused selective hemimacular thinning through retrograde degeneration.
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U2 - 10.1097/WNO.0b013e3182504688
DO - 10.1097/WNO.0b013e3182504688
M3 - Article
C2 - 22580830
AN - SCOPUS:84861802947
SN - 1070-8022
VL - 32
SP - 150
EP - 153
JO - Journal of Neuro-Ophthalmology
JF - Journal of Neuro-Ophthalmology
IS - 2
ER -