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Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke

Authors Tsymbalov K, Fetkenhour D

Received 27 March 2016

Accepted for publication 27 April 2016

Published 14 June 2016 Volume 2016:12 Pages 1385—1388

DOI https://doi.org/10.2147/NDT.S109345

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Prof. Dr. Roumen Kirov

Peer reviewer comments 3

Editor who approved publication: Dr Roger Pinder


Konstantin S Tsymbalov, Douglas R Fetkenhour

Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA

Abstract: This case report describes the detection of homonymous hemianopsia and delirium during the admission physical examination of a patient with esophageal adenocarcinoma, resulting in the new diagnosis of subacute hemorrhagic stroke. The poststroke visual field defect can result in significant disability and reduction in quality of life. Patients with visual field cut show a severely reduced quality of life and require additional neuropsychological and visual rehabilitation. Only thorough physical examination is able to challenge prior negative positron emission tomography scan, leading to the diagnosis of subacute stroke and, following appropriate treatment, secondary stroke prophylaxis and rehabilitation, instead of brain radiation and chemotherapy.

Keywords: physical examination, homonymous hemianopsia, stroke, esophageal tumor
 

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