Traumatic vertebral artery dissection presenting with incomplete congruous homonymous quadrantanopia

Albert Matti, Andrew Lee, Celia Chen

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background. To describe a rare presentation of vertebral artery dissection (VAD) as a small but congruous incomplete homonymous hemianopia demonstrating use of visual field testing in the diagnosis. Case presentation. A 30 year old woman had been unwell for 4 months with difficulty focusing, vertigo, dizziness and a feeling of falling to the right. A small but congruous right inferior homonymous quadrantanopia was found on examination leading to further investigation that uncovered a vertebral artery dissection and multiple posterior circulation infarctions including a left occipital stroke matching the field defect. Conclusions. We describe an atypical case of VAD presenting with a small congruous quadrantanopia. This is a rare but significant condition that predisposes to multiple thromboembolic infarction that may be easily misdiagnosed and a high index of suspicion is required to make the diagnosis.

    Original languageEnglish
    Article number14
    Number of pages3
    JournalBMC Ophthalmology
    Volume10
    Issue number1
    DOIs
    Publication statusPublished - 2010

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