Skip to main content
Log in

Pure homonymous hemiachromatopsia

Findings with neuro-ophthalmologic examination and imaging procedures

  • Published:
European archives of psychiatry and neurological sciences Aims and scope Submit manuscript

Summary

The study describes neuro-ophthalmologic findings in two patients with brain infarction who developed homonymous hemiachromatopsio with resolution to pure homonymous achromatopsia in an upper quadrant. All other visual parameter were normal; only color perimetry was capable of demonstrating the visual disorder. The results arc presented with special emphasis on the maculae region. Computed tomography studies and magnetic resonance imaging revealed lesions in the caudal and medial occipitotemporal gyri as well as in adjacent cortical regions. The lesions were secondary to disordered circulation in a proximal occipitotempora branch of the posterior cerebral artery. The anatomical findings and functional relations of color vision it man are discussed in the light of animal findings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Albert ML, Reches A, Silverberg R (1975) Hemianopic color blindness. J Neurol Neurosurg Psychiatry 38:546–549

    Google Scholar 

  • Albert ML (1973) A simple test of visual neglect. Neurology (Minneap) 23:658–664

    Google Scholar 

  • Bender MB, Kanzer MG (1939) Dynamics of homonymous hemianopsias and preservation of central vision. Brain 62:404–421

    Google Scholar 

  • Benton AL, van Allen MW (1968) Impairment in facial recognition in patients with cerebral disease. Cortex 4:344–358

    Google Scholar 

  • Bjerrum J (1981) Hemianopsi for Farverne. Dan Hosp Tid 8:41–49

    Google Scholar 

  • Brouwer B (1936) Chiasma, Tractus opticus, Sehstrahlung und Sehrinde. In: Bumke O, Foerster O (eds) Handbuch der Neurologie, vol VI. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Critchley M (1967) Acquired anomalies of color perception of central origin. Brain 88:711–724

    Google Scholar 

  • Damasio A, Yamada T, Damasio H, Corbett J, Mckee J (1980) Central achromatopsia: Behavioral, anatomic and physiologic aspects. Neurology (Minneap.) 30:1064–1071

    Google Scholar 

  • Farnsworth D (1943) The Farnsworth-Munsell 100-hue and dichotomous tests for color vision. J Opt Soc Am 33:568–678

    Google Scholar 

  • Geschwind N, Fusillo M (1965) Color naming in association with alexia. Arch Neurol 15:137–146

    Google Scholar 

  • Green JG, Lessell S (1977) Acquired cerebral dyschromatopsia. Arch Ophthalmol 95:121–128

    Google Scholar 

  • Harrington DO (1981) The visual fields — A textbook and atlas of clinical perimetry. Mosby, St. Louis

    Google Scholar 

  • Heilman KM, Valenstein E (1979) Mechanism underlying hemispatial neglect. Ann Neurol 5:160–170

    Google Scholar 

  • Hering E (1920) Grundzüge der Lehre vom Lichtsinn. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Holmes G (1918) Disturbances of vision by cerebral lesions. Br J Ophthalmol 2:353–384

    Google Scholar 

  • Lenz G (1921a) Zur Pathologie der cerebralen Sehbahn unter besonderer Berücksichtigung ihrer Ergebnisse für die Anatomie und Physiologie. Graefes Arch Clin Exp Ophthalmol 72:1–85, 197–273

    Google Scholar 

  • Lenz G (1921b) Zwei Sectionsfälle doppelseitiger zentraler Farbenhemianopsie. Z Ges Neurol Psychiatrie 71:135–186

    Google Scholar 

  • Luria AR (1960) Die höheren cortikalen Funktionen des Menschen und ihre Störungen durch örtliche Hirnschädigungen. VEB Verlag d. Wissenschaften, Berlin

    Google Scholar 

  • Mackay G, Dunlop JC (1899) The cerebral lesions in a case of complete acquired color blindness. Scott Med Surg J 5:503–512

    Google Scholar 

  • Meadows JC (1974) Disturbed perception of color associated with localized cerebral lesions. Brain 97:615–632

    Google Scholar 

  • Michael CR (1978) Color sensitive complex cells in monkey striate cortex. J Neurophysiol 41:1250–1266

    Google Scholar 

  • Monie M (1948) Über Untersuchungen der Tiefensehschärfe mit dem Stereoeidometer. Graefes Arch Clin Exp Ophthalmol 148:343–357

    Google Scholar 

  • Pearlman AL, Birch J, Meadows JC (1979) Cerebral Color Blindness: An acquired Defect in Hue Discrimination. Ann Neurol 5:253–261

    Google Scholar 

  • Samelsohn J (1881) Zur Frage des Farbensinncentrums. Zentralbl Med Wissensch 29:850–853, 900

    Google Scholar 

  • Schein SJ, Marocco RT, DeMonasterio FM (1982) Is there a high concentration of color-selective cells in area V4 of monkey visual cortex? J Neurophysiol 47:193–213

    Google Scholar 

  • Teuber HL, Battersby SW, Bender MB (1960) Visual field defects after penetrating missile wounds of the brain. Harvard Univ. Press, Cambridge

    Google Scholar 

  • Ungerleider LG, Mishkin M (1979) The striate projection zone in the superior temporal sulcus of Macaca mulatta: location and topographic organization. J Comp Neurol 188:347–366

    Google Scholar 

  • van Essen DC, Zeki SM (1978) The topographic organization of rhesus monkey prestriate cortex. J Physiol 41:193–226

    Google Scholar 

  • Verrey D (1888) Hemiachromatopsia droite absolue. — Conversation partielle de la perception lumineuse et des formes. — Ancien kyste hemorrhagique de la partie inferieure du lobe occipital gauche. Arch Ophthalmol 8:289–300

    Google Scholar 

  • Wilbrand H, Saenger A (1917) Die homonyme Hemianopsie. Bergmann JF, Wiesbaden

    Google Scholar 

  • Zeki SM (1969) Representation of central visual fields in prestriate cortex of monkey. Brain Res 14:271–291

    Google Scholar 

  • Zihl J, von Cramon D (1980) Color anomia restricted to the left visual hemifield after splenial disconnection. J Neurol Neurosurg Psychiatry 43:719–724

    Google Scholar 

  • Zihl J, Mayer JC (1981) Farbperimetrie: Methode und diagnostische Bedeutung. Nervenarzt 52:574–580

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kölmel, H.W. Pure homonymous hemiachromatopsia. Eur Arch Psychiatr Neurol Sci 237, 237–243 (1988). https://doi.org/10.1007/BF00449913

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00449913

Key words

Navigation