Homonymous Hemianopia with Macular Sparing: Clinical and Radiological Correlation - case presentation

Abstract

A classical case of homonymous hemianopia with macular sparing secondary to stroke involving the occipital cortex is presented. The lesion was localized more anteriorly where anatomically the peripheral vision function in the cerebral cortex is located. Sparing of the occipital pole was responsible for macular sparing in the patient. In this case there was good co-relation between clinical symptoms and radiological findings. This case highlights that well conducted visual field testing and careful evaluation of the visual field defect pattern can localize the lesion site approximately along the optic pathway that can be confirmed by modern imaging modalities.

Key words: brain, magnetic resonance imaging, macula, occipital lobe, vision, homonymous hemianopia, stroke