Hemianopsia in Dementia With Lewy Bodies

Khurram Bashir, Rodger J. Elble, Mona Ghobrial, Robert G. Struble
1998 Archives of Neurology  
Objective: To describe the pathologic changes that caused a left homonymous hemianopsia in a patient with dementia with Lewy bodies. Design: Report of a case and postmortem studies. Main Outcome and Results: A 66-year-old woman experienced parkinsonism and left homonymous hemianopsia early in the course of a rapidly progressive dementia that culminated in death only 21 months after the onset of her symptoms. Postmortem examination re-vealed pathologic features consistent with the diagnosis of
more » ... mentia with Lewy bodies. The only apparent explanation for her visual field deficit was a disproportionately large number of neurofibrillary tangles in the right striate, peristriate, and inferotemporal cortices. Conclusion: A clinically obvious homonymous hemianopsia can result from the occipital and inferotemporal cortical degeneration in dementia with Lewy bodies.
doi:10.1001/archneur.55.8.1132 pmid:9708965 fatcat:fbgvsyq2rvghbpmkhqqmxeoz5m