The stroke resulted in homonymous hemianopsia
, or hemianopia, the lack of a column of vision in each eye.
Neurological findings revealed homonymous hemianopsia
on the right side and positive pronation and toning of the right limbs, without asymmetry of reflexes.
Blurred vision, homonymous hemianopsia
as well as cortical blindness in some cases are common manifestations of the visual disturbance.
On neurological examination, right sequel homonymous hemianopsia
and frust right hemiparesis were found.
The stroke team found the patient awake and alert but with a decreased gag reflex, dysarthric with acute left hemiparesis with no sensation in the left upper or lower extremities, and a left homonymous hemianopsia
Examination showed blood pressure of 115/80 mmHg, regular heart rate of 90 per minute, Glasgow coma scale (GCS) of 12, expressive aphasia, left facial nerve palsy of upper motor neuron type with dense left sided hemiplegia and left homonymous hemianopsia
(NIH Stroke Scale score 17).
Her face was symmetric, and cranial nerve examination demonstrated a right homonymous hemianopsia
Neurological examination revealed higher normal mental functions, decreased visual acuity in both eyes, left homonymous hemianopsia
, bilateral pale discs with normal pupillary reflexes and extraocular movements.
He has poorly controlled type II diabetes mellitus; obesity (body mass index 40 kg/ [m.sup.2] ); complicated cryptogenic cirrhosis with prior esophageal varices, portal gastropathy, splenomegaly, and no encephalopathy; surgically treated colon adenocarcinoma; and bilateral thalamic and right occipital infarcts with residual left homonymous hemianopsia
and vertical gaze paresis.