Homonymous hemimacular thinning: A unique presentation of optic tract injury in neuromyelitis optica

Rebecca S. Romero, Ismael Gutierrez, Eugene Wang, Anthony T. Reder, M. Tariq Bhatti, Jacqueline T. Bernard, Adil Javed

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

A 42-year-old African American woman with a 5-year history of neuromyelitis optica was found to have an incongruous homonymous hemianopia. Optical coherence tomography (OCT) showed corresponding left homonymous hemimacular thinning. Magnetic resonance imaging of the brain demonstrated a demyelinating lesion in the left optic tract (OT) just anterior to the lateral geniculate nucleus and diffusion tensor magnetic resonance tractography confirmed axonal fiber loss in the left OT. This case illustrates the complementary and confirmatory roles of visual field testing, macular OCT, and neuroimaging in an OT lesion, which caused selective hemimacular thinning through retrograde degeneration.

Original languageEnglish (US)
Pages (from-to)150-153
Number of pages4
JournalJournal of Neuro-Ophthalmology
Volume32
Issue number2
DOIs
StatePublished - Jun 1 2012

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Homonymous hemimacular thinning: A unique presentation of optic tract injury in neuromyelitis optica'. Together they form a unique fingerprint.

  • Cite this