Hemianopsia
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Hemianopsia
Nervous system and special senses
Adverse effects of drugs on the nervous system
Cerebrovascular disease
Congenital disorders
Cranial and peripheral nerve disorders
Degenerative disorders or amnesic syndromes
Demyelinating disorders
Disorders relating to the spine, spinal cord, and spinal nerve roots
Global cerebral dysfunction
Infectious, immunologic, and inflammatory disorders
Metabolic disorders
Movement disorders
Neurologic pain syndromes
Neuromuscular disorders
Paroxysmal disorders
Sleep disorders
Traumatic and mechanical disorders and disorders of increased intracranial pressure
Disorders of the ear
Disorders of the eye and eyelid
Cataract
Glaucoma
Age-related macular degeneration
Color blindness
Diabetic retinopathy
Retinal detachment
Retinopathy of prematurity
Conjunctivitis
Corneal ulcer
Hordeolum (stye)
Keratitis
Neonatal conjunctivitis
Orbital cellulitis
Periorbital cellulitis
Uveitis
Retinoblastoma
Bitemporal hemianopsia
Cortical blindness
Hemianopsia
Homonymous hemianopsia
Nervous system and special senses pathology review
Psychiatric emergencies: Pathology review
Cerebral vascular disease: Pathology review
Congenital neurological disorders: Pathology review
Neurocutaneous disorders: Pathology review
Dementia: Pathology review
Amnesia, dissociative disorders and delirium: Pathology review
Eye conditions: Inflammation, infections and trauma: Pathology review
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Eye conditions: Retinal disorders: Pathology review
Vertigo: Pathology review
Spinal cord disorders: Pathology review
Central nervous system infections: Pathology review
Demyelinating disorders: Pathology review
Peroxisomal disorders: Pathology review
Movement disorders: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Neuromuscular junction disorders: Pathology review
Headaches: Pathology review
Seizures: Pathology review
Psychological sleep disorders: Pathology review
Traumatic brain injury: Pathology review
Assessments
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High Yield Notes
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Flashcards
Hemianopsia
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Questions
USMLE® Step 1 style questions USMLE
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USMLE® Step 2 style questions USMLE
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A 35-year-old woman comes to the office because of a six month history of progressively worsening headaches. She has also noticed blurred peripheral vision while driving. The patient does not report any head trauma or associated dizziness, weight changes, diplopia, or polyuria. Past medical history is unremarkable and she does not take any medications. Vitals are within normal limits. Physical examination demonstrates a bitemporal visual field defect. Laboratory studies reveal a prolactin level that is greater than 20 times normal and cranial imaging shows a large pituitary mass. Based on the diagram below, which of the following visual pathways is most likely disrupted in this patient?
External References
First Aid
2024
2023
2022
2021
Hemianopia p. 526, 557
Hemianopia with macular sparing p. 557
Quadrantic hemianopia
lower p. 557
Summary
Hemianopsia refers to a decrease in vision or blindness in one-half of the visual field. Hemianopsia can be caused by damage to the brain (e.g., stroke or brain tumor), eye, or optic nerve. People with hemianopsia may have trouble seeing things on the side of their field of vision opposite to the damaged side. For example, if the right side of their brain has been damaged, they may have trouble seeing anything on the left side of their visual field.