Document Detail

Partially reversible quadruple sectoranopia caused by vascular steal due to an arteriovenous malformation.
MedLine Citation:
PMID:  15221308     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Lateral, homonymous upper and lower field blind sectors sparing a horizontal zone define quadruple sectoranopia. This rare campimetric deficit involves ischemia or infarction of parts of the lateral geniculate body supplied by the distal anterior choroidal artery. METHODS: A 41-year-old patient presented with a complaint of blurred vision. Visual acuity was 20/20 on both sides. Visual field showed a left quadruple sectoranopia. CT scan, MRI, MRA and conventional angiography showed a right cerebral arteriovenous malformation supplied partly by the right anterior choroidal artery. Partial retinal nerve fiber layer atrophy matched to the campimetric deficit proved that some degree of infarction involved the lateral geniculate body. RESULTS: The arteriovenous malformation was treated with stereotactic radiosurgery. Two years after treatment, the nidus had completely disappeared. The campimetric deficit began improving from 19 months onwards after stereotactic radiosurgery. Twenty-eight months after treatment, the superior defect had completely reversed. CONCLUSIONS: Quadruple sectoranopia involves ischemia or infarction of parts of the lateral geniculate body supplied by the distal anterior choroidal artery. Following radio-induced angioma thrombosis, blood was no longer shunted away from the right lateral geniculate body, whose viable areas resumed their activity. Accordingly, a partial campimetric recovery occurred.
Eric Denion; Sabine Defoort-Dhellemmes; Carl-Friedrich Arndt; Jean-Yves Gauvrit; Serge Blond; Jean-Claude Hache
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-06-22
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  243     ISSN:  0721-832X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-20     Completed Date:  2005-04-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  63-7     Citation Subset:  IM    
Vision Functional Exploration Department, Lille University Hospital, Lille, France.
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MeSH Terms
Cerebral Arteries*
Choroid / blood supply
Geniculate Bodies / blood supply*,  physiopathology
Hemianopsia / etiology*,  physiopathology
Intracranial Arteriovenous Malformations / complications*,  radiography,  surgery
Magnetic Resonance Angiography
Tomography, X-Ray Computed
Visual Acuity
Visual Fields

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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