Abstract
A sixty-year old patient had inferior nasal visual field defect in both eyes associated with papilledema. After pseudotumor cerebri was diagnosed and the appropriate treatment begun, the papilledema disappeared, but the visual field defect persisted.
This case suggests a revision of the classical concepts concerning the pathogenesis of binasal defects from intracranial causes and emphasizes the risk of loss of vision inherent in long-standing papilledema.
Sommario
Viene descritto il caso di un paziente di 60 anni con una quadrantanopsia binasale inferiore e papil-ledema dovuti a pseudotumor cerebri. Dopo l'inizio della opportuna terapia si è osservata una regressione del papilledema ma non del deficit campimetrico.
Questo caso suggerisce una revisione della concezione classica sulla patogenesi dei difetti binasali da patologia intracranica e sottolinea i rischi di danno visivo inerenti un papilledema di lunga durata.
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Nichelli, P., Penne, A. Permanent inferior binasal quadrantanopsia in pseudotumor cerebri. Ital J Neuro Sci 4, 221–224 (1983). https://doi.org/10.1007/BF02043910
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DOI: https://doi.org/10.1007/BF02043910