A 63-Year-Old Man With Progressive Visual Symptoms

JAMA Neurol. 2017 Jan 1;74(1):114-118. doi: 10.1001/jamaneurol.2016.2210.

Abstract

A 63-year-old man presented with a 4-year history of insidious onset and gradual progression of visual symptoms including right homonymous hemianopsia, alexia, and simultanagnosia with preserved memory. Magnetic resonance imaging, perfusion single-photon emission computed tomography, and fluorodeoxyglucose positron emission tomographic scans revealed strikingly asymmetric left parieto-occipital abnormality. Neuropsychological testing was performed. The differential diagnosis, pathologic findings, genetic testing results, and diagnosis are discussed.

Publication types

  • Case Reports

MeSH terms

  • Brain / diagnostic imaging*
  • Diagnosis, Differential
  • Disease Progression
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neurodegenerative Diseases / complications
  • Tomography, Emission-Computed, Single-Photon
  • Vision Disorders / diagnostic imaging
  • Vision Disorders / genetics
  • Vision Disorders / physiopathology*