Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia
<p>Abstract</p> <p>Background</p> <p>To describe a rare presentation of vertebral artery dissection (VAD) as a small but congruous incomplete homonymous hemianopia demonstrating use of visual field testing in the diagnosis.</p> <p>Case presentation</p>...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2010-05-01
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| Series: | BMC Ophthalmology |
| Online Access: | http://www.biomedcentral.com/1471-2415/10/14 |
| _version_ | 1828230104787976192 |
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| author | Chen Celia S Lee Andrew W Matti Albert I |
| author_facet | Chen Celia S Lee Andrew W Matti Albert I |
| author_sort | Chen Celia S |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>To describe a rare presentation of vertebral artery dissection (VAD) as a small but congruous incomplete homonymous hemianopia demonstrating use of visual field testing in the diagnosis.</p> <p>Case presentation</p> <p>A 30 year old woman had been unwell for 4 months with difficulty focusing, vertigo, dizziness and a feeling of falling to the right. A small but congruous right inferior homonymous quadrantanopia was found on examination leading to further investigation that uncovered a vertebral artery dissection and multiple posterior circulation infarctions including a left occipital stroke matching the field defect.</p> <p>Conclusions</p> <p>We describe an atypical case of VAD presenting with a small congruous quadrantanopia. This is a rare but significant condition that predisposes to multiple thromboembolic infarction that may be easily misdiagnosed and a high index of suspicion is required to make the diagnosis.</p> |
| first_indexed | 2024-04-12T18:43:21Z |
| format | Article |
| id | doaj.art-643bc0c0c62648b99c3fff65e06bdbf8 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-12T18:43:21Z |
| publishDate | 2010-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-643bc0c0c62648b99c3fff65e06bdbf82022-12-22T03:20:42ZengBMCBMC Ophthalmology1471-24152010-05-011011410.1186/1471-2415-10-14Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopiaChen Celia SLee Andrew WMatti Albert I<p>Abstract</p> <p>Background</p> <p>To describe a rare presentation of vertebral artery dissection (VAD) as a small but congruous incomplete homonymous hemianopia demonstrating use of visual field testing in the diagnosis.</p> <p>Case presentation</p> <p>A 30 year old woman had been unwell for 4 months with difficulty focusing, vertigo, dizziness and a feeling of falling to the right. A small but congruous right inferior homonymous quadrantanopia was found on examination leading to further investigation that uncovered a vertebral artery dissection and multiple posterior circulation infarctions including a left occipital stroke matching the field defect.</p> <p>Conclusions</p> <p>We describe an atypical case of VAD presenting with a small congruous quadrantanopia. This is a rare but significant condition that predisposes to multiple thromboembolic infarction that may be easily misdiagnosed and a high index of suspicion is required to make the diagnosis.</p>http://www.biomedcentral.com/1471-2415/10/14 |
| spellingShingle | Chen Celia S Lee Andrew W Matti Albert I Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia BMC Ophthalmology |
| title | Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia |
| title_full | Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia |
| title_fullStr | Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia |
| title_full_unstemmed | Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia |
| title_short | Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia |
| title_sort | traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia |
| url | http://www.biomedcentral.com/1471-2415/10/14 |
| work_keys_str_mv | AT chencelias traumaticvertebralarterydissectionpresentingwithincompletecongruoushomonymousquadrantanopia AT leeandreww traumaticvertebralarterydissectionpresentingwithincompletecongruoushomonymousquadrantanopia AT mattialberti traumaticvertebralarterydissectionpresentingwithincompletecongruoushomonymousquadrantanopia |