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      Homonymous Hemianopsia as the Initial Manifestation of Multiple Sclerosis

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          A 28-year-old male patient in good health with no previous neurologic or ophthalmoscopic abnormalities developed right homonymous hemianopsia. Magnetic resonance (MR) imaging demonstrated bilateral high-signal suprageniculate lesions. The lesion located in the left parieto-occipital area was compatible with the field defect observed. Oligoclonal bands were present in the cerebrospinal fluid. Testing of visual-evoked potentials revealed increased latencies in both eyes. The patient was given 1 g/day intravenous methylprednisolone for 3 days. The visual fields, as determined by automated static perimetry, recovered completely in 2 weeks. Follow-up MR imaging at 1 month showed no change compared to baseline. Seven months after the initial attack he suffered right internuclear ophthalmoplegia, which resolved spontaneously within 1 week. Based on the clinical and radiologic findings, the final diagnosis was made as clinically definite multiple sclerosis (MS). This patient represents a rare case of MS presenting first with homonymous hemianopsia.

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          Author and article information

          S. Karger AG
          June 1998
          19 March 1998
          : 212
          : 3
          : 215-220
          aKeçiören Numune State Hospital, and bGöznur Eye Center, and cDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
          27283 Ophthalmologica 1998;212:215–220
          © 1998 S. Karger AG, Basel

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          Page count
          Figures: 5, References: 12, Pages: 6
          Case Report · Description de cas · Fallbericht


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