ISOLATED VISUAL FIELD IMPAIRMENT IN REPEATED CEREBRAL CIRCULATORY DISORDERS IN THE BASIN OF THE POSTERIOR CEREBRAL ARTERY IN A TEENAGER
Abstract
Ischemic stroke in the basin of the posterior cerebral artery (PCA) is a rare disease. The clinical observation of repeated episodes of ischemic stroke in a 16-year-old patient in the PCA basin, manifested by isolated visual disturbances (visual fi eld defects) and headache, is presented. The disease debuted with visual fl icker. 6 months after the disease, incomplete homonymous hemianopia developed — lower quadrant hemianopi, confi rmed by computer perimetry. When performing magnetic resonance imaging (MRI) of the brain, foci of ischemic changes in the left parietal-occipital region regione were revealed. Partial restoration of visual functions was noted against the background of therapy. The presence of isolated homonymous hemianopia dictates the need for highly informative diagnostic methods including magnetic resonance imaging of the brain and perimetric examination for timely diagnosis, adequate therapy and prevention of the disease.
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