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Transient homonymous hemianopia and positive visual phenomena in nonketotic hyperglycemic patients
Kenn A Freedman1, Silpi Polepalle
1Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, 79430-7217, USA. kenn.freedman@ttuhsc.edu
Purpose:
To report a case of a transient homonymous hemianopia in a patient with nonketotic hyperglycemia with negative magnetic resonance imaging (MRI) scans.
Design:
Case report.
Method:
A 72-year-old woman with diabetes mellitus was referred to the neuro-ophthalmology service with hyperglycemia and multiple visual complaints.
Results:
The patient was found to have a dense left homonymous hemianopia on examination. An MRI scan of the brain was negative for a lesion affecting the visual pathways. Resolution of the homonymous hemianopia and the patient's symptoms came with normalization of her blood glucose levels.
Conclusion:
Nonketotic hyperglycemia is an important diagnostic consideration in patients who present with homonymous visual field defects but have negative neuroimaging studies.
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