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Neurology. 2014 Apr 15;82(15):e129-33. doi: 10.1212/WNL.0000000000000308.

Clinical reasoning: acute-onset homonymous hemianopia with hyperglycemia: seeing is believing.

Author information

1
From the Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC.

Abstract

A 32-year-old woman with a history of bipolar disorder, polycystic ovarian syndrome, and hypertension and a 4-year history of uncontrolled type 2 diabetes mellitus (DM) presented with bifrontal headache, elevated blood sugars (>500 mg/dL), and abrupt-onset left homonymous hemianopia upon awakening. Vital signs included temperature 98.0°F, blood pressure 160/89 mm Hg, and heart rate 67 bpm. Neurologic examination showed dense left homonymous hemianopia with macular sparing and without other focal findings.

PMID:
24733863
DOI:
10.1212/WNL.0000000000000308
[Indexed for MEDLINE]

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