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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 ofdoi:10.1001/archneur.55.8.1132 pmid:9708965 fatcat:fbgvsyq2rvghbpmkhqqmxeoz5m