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Homonymous hemianopia and systemic lupus erythematosus.

E I Traboulsi, A M Mansour, M I Aswad

    Journal of Clinical Neuro-Ophthalmology
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    Systemic lupus erythematosus can cause vision loss in young women. A postpartum flare led to a brain infarct causing homonymous hemianopia, highlighting the need for neuro-ophthalmic evaluation.

    Area of Science:

    • Neuroscience
    • Ophthalmology
    • Rheumatology

    Background:

    • Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with diverse clinical manifestations.
    • Neuro-ophthalmic complications of SLE, though uncommon, can significantly impact patient quality of life.
    • Homonymous hemianopia, a visual field defect, typically results from posterior circulation stroke.

    Observation:

    • A 23-year-old woman with a history of SLE presented with homonymous hemianopia.
    • The patient experienced a postpartum exacerbation of her SLE.
    • Brain CT scan revealed a calcarine cortical infarct, correlating with the visual field defect.

    Findings:

    • The calcarine cortical infarct was attributed to the postpartum SLE exacerbation.
    • This case highlights a rare but serious neuro-ophthalmic manifestation of SLE.

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  • The infarct's location precisely explained the homonymous hemianopia.

    • Implications:

    • Collagen vascular diseases, including SLE, should be considered in the differential diagnosis of homonymous hemianopia in young individuals.
    • Early recognition and management of SLE exacerbations are crucial to prevent neurological sequelae.
    • This case underscores the importance of a multidisciplinary approach in managing patients with complex autoimmune diseases and neurological symptoms.