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Sasaki, F., Kawajiri, S., Nakajima, S. et al. Occipital lobe seizures and subcortical T2 and T2* hypointensity associated with nonketotic hyperglycemia: a case report. J Med Case Reports 10, 228 (2016).

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Article

Left Homonymous Hemianopia: An Uncommon, Neuro-ophthalmological Presentation of Hyperglycemic Hyperosmolar State

1Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, USA

2Department of Ophthalmology, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, USA


American Journal of Medical Case Reports. 2020, Vol. 8 No. 12, 463-466
DOI: 10.12691/ajmcr-8-12-8
Copyright © 2020 Science and Education Publishing

Cite this paper:
Daniel Kashani, Ganesh K Thirunavukkarasu, Saeed Javidi, Leonel Mendoza, Isabel M McFarlane. Left Homonymous Hemianopia: An Uncommon, Neuro-ophthalmological Presentation of Hyperglycemic Hyperosmolar State. American Journal of Medical Case Reports. 2020; 8(12):463-466. doi: 10.12691/ajmcr-8-12-8.

Correspondence to: Isabel  M McFarlane, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, USA. Email: Isabel.McFarlane@downstate.edu

Abstract

Spectrum of the neurological deficits in non-ketotic hyperglycemia and hyperosmolar hyperglycemic state (HHS) ranges widely among patients and can have any presentation from focal seizures, epilepsia partialis continua, chorea-hemiballismus syndrome, hemiparesis, hemianopia to mental obtundation and coma. Here we report a case of HHS which presented with Left Homonymous Hemianopia as the only initial presentation. Symptoms slowly resolved over the course of two weeks by administration of insulin and normalizing the glucose.

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