An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia

Patients with a mass or ischemic lesion on the visual pathways cannot avoid obstacles on the affected side in accordance with the localization of the lesion and may collide with approaching people and obstacles. In this case, we wanted to draw attention to the case with homonim hemianopsy and diagno...

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Main Authors: Yunus Emre Sağmal, Merve Ekşioğlu, Tuba Cimill Ozturk
Format: Article
Language:English
Published: Kare Publishing 2022-10-01
Series:Boğaziçi Tıp Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-68442
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author Yunus Emre Sağmal
Merve Ekşioğlu
Tuba Cimill Ozturk
author_facet Yunus Emre Sağmal
Merve Ekşioğlu
Tuba Cimill Ozturk
author_sort Yunus Emre Sağmal
collection DOAJ
description Patients with a mass or ischemic lesion on the visual pathways cannot avoid obstacles on the affected side in accordance with the localization of the lesion and may collide with approaching people and obstacles. In this case, we wanted to draw attention to the case with homonim hemianopsy and diagnosed with glioblastoma in the visual field examination based on the history of headaches and recurrent trauma. A 52-year-old male patient applied to the emergency department with the complaints of hitting objects on his left side and hitting the left side of his car twice in the past week. Left homonymous hemianopsia was detected in the visual field examination of the patient. On CT imaging, a mass with diffuse peripheral edema were observed in the right occipitoparietal. The patient was admitted to the neurosurgery department. The patient was operated 1 day after hospitalization and his pathology result of the lesion was compatible with glioblastoma. Visual fields provide valuable information about the location of brain lesions, especially when associated with other symptoms. The anamnesis of patients with these complaints should be examined in detail. These patients may not be aware of their visual impairment. Therefore, routine visual field examination should be performed in the neurological evaluation of the patients.
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spelling doaj.art-c543692babdb4669bd1eeefe20fc26182023-10-24T02:43:20ZengKare PublishingBoğaziçi Tıp Dergisi2149-02872022-10-019319519810.14744/bmj.2022.68442BMJ-68442An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous HemianopsiaYunus Emre Sağmal0Merve Ekşioğlu1Tuba Cimill Ozturk2Fatih Sultan Mehmet Training and Research Hospital, Emergency Medicine Clinic, Istanbul, TürkiyeFatih Sultan Mehmet Training and Research Hospital, Emergency Medicine Clinic, Istanbul, TürkiyeFatih Sultan Mehmet Training and Research Hospital, Emergency Medicine Clinic, Istanbul, TürkiyePatients with a mass or ischemic lesion on the visual pathways cannot avoid obstacles on the affected side in accordance with the localization of the lesion and may collide with approaching people and obstacles. In this case, we wanted to draw attention to the case with homonim hemianopsy and diagnosed with glioblastoma in the visual field examination based on the history of headaches and recurrent trauma. A 52-year-old male patient applied to the emergency department with the complaints of hitting objects on his left side and hitting the left side of his car twice in the past week. Left homonymous hemianopsia was detected in the visual field examination of the patient. On CT imaging, a mass with diffuse peripheral edema were observed in the right occipitoparietal. The patient was admitted to the neurosurgery department. The patient was operated 1 day after hospitalization and his pathology result of the lesion was compatible with glioblastoma. Visual fields provide valuable information about the location of brain lesions, especially when associated with other symptoms. The anamnesis of patients with these complaints should be examined in detail. These patients may not be aware of their visual impairment. Therefore, routine visual field examination should be performed in the neurological evaluation of the patients.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-68442glioblastoma multiformehemianopsiavisual field examination.
spellingShingle Yunus Emre Sağmal
Merve Ekşioğlu
Tuba Cimill Ozturk
An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia
Boğaziçi Tıp Dergisi
glioblastoma multiforme
hemianopsia
visual field examination.
title An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia
title_full An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia
title_fullStr An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia
title_full_unstemmed An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia
title_short An Unrecognized Symptom of Brain Tumors in the Emergency Department: Left Homonymous Hemianopsia
title_sort unrecognized symptom of brain tumors in the emergency department left homonymous hemianopsia
topic glioblastoma multiforme
hemianopsia
visual field examination.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-68442
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