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 Bernard, Adil Javed

Research output: Contribution to journalArticle

13 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Neuromyelitis Optica
Optical Coherence Tomography
Wounds and Injuries
Retrograde Degeneration
Geniculate Bodies
Hemianopsia
Visual Fields
Neuroimaging
African Americans
Magnetic Resonance Spectroscopy
Magnetic Resonance Imaging
Brain
Optic Tract

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

Cite this

Homonymous hemimacular thinning : A unique presentation of optic tract injury in neuromyelitis optica. / Romero, Rebecca S.; Gutierrez, Ismael; Wang, Eugene; Reder, Anthony T.; Bhatti, M. Tariq; Bernard, Jacqueline; Javed, Adil.

In: Journal of Neuro-Ophthalmology, Vol. 32, No. 2, 01.06.2012, p. 150-153.

Research output: Contribution to journalArticle

Romero, Rebecca S. ; Gutierrez, Ismael ; Wang, Eugene ; Reder, Anthony T. ; Bhatti, M. Tariq ; Bernard, Jacqueline ; Javed, Adil. / Homonymous hemimacular thinning : A unique presentation of optic tract injury in neuromyelitis optica. In: Journal of Neuro-Ophthalmology. 2012 ; Vol. 32, No. 2. pp. 150-153.
@article{5acf464b45224710b8ed0b7882628e2d,
title = "Homonymous hemimacular thinning: A unique presentation of optic tract injury in neuromyelitis optica",
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.",
author = "Romero, {Rebecca S.} and Ismael Gutierrez and Eugene Wang and Reder, {Anthony T.} and Bhatti, {M. Tariq} and Jacqueline Bernard and Adil Javed",
year = "2012",
month = "6",
day = "1",
doi = "10.1097/WNO.0b013e3182504688",
language = "English (US)",
volume = "32",
pages = "150--153",
journal = "Journal of Neuro-Ophthalmology",
issn = "1070-8022",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Homonymous hemimacular thinning

T2 - A unique presentation of optic tract injury in neuromyelitis optica

AU - Romero, Rebecca S.

AU - Gutierrez, Ismael

AU - Wang, Eugene

AU - Reder, Anthony T.

AU - Bhatti, M. Tariq

AU - Bernard, Jacqueline

AU - Javed, Adil

PY - 2012/6/1

Y1 - 2012/6/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84861802947&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84861802947&partnerID=8YFLogxK

U2 - 10.1097/WNO.0b013e3182504688

DO - 10.1097/WNO.0b013e3182504688

M3 - Article

C2 - 22580830

AN - SCOPUS:84861802947

VL - 32

SP - 150

EP - 153

JO - Journal of Neuro-Ophthalmology

JF - Journal of Neuro-Ophthalmology

SN - 1070-8022

IS - 2

ER -