Visual Field Investigation in Cerebrovascular Accident

  • Syuji Maeda
  • Sumio Usuba
  • Ken Nagata
  • Shuichi Matsuyama
Chapter
Part of the Documenta Ophthalmologica Proceedings Series book series (DOPS, volume 26)

Abstract

One hundred and thirty patients of cerebrovascular accidents were subjected to a visual field examination using a Static Campimeter and a Goldmann perimeter. Thirty seven cases of homonymous field defects were detected; right homonymous field defect in 12 and left one in 25 subjects. The clinical diagnosis in this series was as follows; 11 putaminal hemorrhage, 6 thalamic hemorrhage, 4 internal carotid artery occlusion, 7 middle cerebral artery occlusion, 5 posterior cerebral artery occlusion, 2 subcortical hemorrhage and 2 cerebral infarction of uncertain location.

In general, the main arterial branch occlusion revealed congruous visual field defects with steep margins, whereas cerebral bleeding showed various types of field defects.

Middle cerebral artery occlusion showed quadrantanopia of various degrees and thalamic hemorrhage showed small homonymous field defects within one quadrant.

Macular sparing is of little value in topical diagnosis in this series.

Keywords

Visual Field Middle Cerebral Artery Occlusion Visual Field Defect Posterior Cerebral Artery Internal Carotid Artery Occlusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Fisher, C. M. et al. Acute hypertensive cerebellar hemorrhage: diagnosis and surgical treatment. J. Nerv. Ment. Dis. 140:38 (1965).PubMedCrossRefGoogle Scholar
  2. 2.
    Haerer, A. F. Visual field defects and the prognosis of stroke patients. Stroke 4: 163 (1973).PubMedCrossRefGoogle Scholar
  3. 3.
    Huber, A. Röntgen diagnosis vs visual field. Arch. Ophthalmol. 90: 1 (1973).PubMedGoogle Scholar
  4. 4.
    Isaeff, W. B. Ophthalmic findings in 322 patients with a cerebral vascular accident. Ann. Ophthal. 6: 1059 (1974).PubMedGoogle Scholar
  5. 5.
    Kaul, S. N. et al. Relationship between visual field defect and arterial occlusion in the posterior cerebral circulation. J. Neurol. Neurosurg. Psychiatry, 37: 1022 (1974).CrossRefGoogle Scholar
  6. 6.
    Koerner, F. & H. L. Teuber. Visual field defects after missile injuries to the geniculo-striate pathway in man. Exp. Brain Res. 18: 88 (1973).PubMedCrossRefGoogle Scholar
  7. 7.
    Lanshe, R. K. Ocular manifestations of strokes. Int. Ophthal. Clin. 8: 337 (1968).Google Scholar
  8. 8.
    Smith, J. L. Homonymous hemianopia. Am. J. Ophthalmol. 54: 616 (1962).PubMedGoogle Scholar
  9. 9.
    Tate, Jr. G. W. & J. R. Lynn. Principles of interpretation of the visual field. In: Principles of quantitative perimetry. Grune & Stratton, New York, p. 191 (1977).Google Scholar

Copyright information

© Dr W. Junk by Publishers, The Hague 1981

Authors and Affiliations

  • Syuji Maeda
    • 1
  • Sumio Usuba
    • 1
  • Ken Nagata
    • 2
  • Shuichi Matsuyama
    • 1
  1. 1.Department of OphthalmologyHirosaki University School of MedicineHirosaki 036Japan
  2. 2.Institute of Brain and Blood VesselsMihara Memorial HospitalIsezakiJapan

Personalised recommendations