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J Neurol Neurosurg Psychiatry 1999;67:169-173 ( August )

When the left brain is not right the right brain may be left: report of personal experience of occipital hemianopia

Monroe Cole

Department of Neurology, Case Western Reserve University and University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106-5000, USA

Correspondence to: Dr Monroe Cole, Department of Neurology, Case Western Reserve University and University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106-5000, USA. Telephone 001 216 844 3769; fax 001 216 844 5066.

Received 16 October 1998 and in revised form 5 March 1999; Accepted 5 March 1999

OBJECTIVES---To make a personal report of a hemianopia due to an occipital infarct, sustained by a professor of neurology.
METHODS---Verbatim observation of neurological phenomena recorded during the acute illness.
RESULTS---Hemianopia, visual hallucinations, and non-occipital deficits without extraoccipital lesions on MRI, are described and discussed.
CONCLUSIONS---Hemianopia, due to an occipital infarct, without alexia, is not a disability which precludes a normal professional career. Neurorehabilitation has not been necessary.


Keywords: occipital; hemianopia; visual hallucinations.

© 1999 by Journal of Neurology, Neurosurgery, and Psychiatry


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