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Neuro-ophthalmology Unit, Departments of Neurological Surgery, Neurology, and Ophthalmology, School of Medicine, University of California, San Francisco, CA.
A 24-year-old man with recent-onset seizures was found to have an occipital lobe ganglioglioma with homonymous quadrantanopia and trans-synaptic atrophy of retinal nerve fibers. This association indicates that gangliogliomas may arise during neural development and exist for many years before onset of symptoms.
Address correspondence and reprint requests to Dr. Fletcher, Department of Clinical Neurosciences and Division of Ophthalmology, University of Calgary, 1403 29th Street NW, Calgary, Alberta T2N 2T9, Canada.
Dr. Fletcher was supported by the Alberta Heritage Foundation for Medical Research.
Received March 29, 1988. Accepted for publication in final form June 9, 1988.
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