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Hyperglycemic hemianopia: A reversible complication of non-ketotic hyperglycemia

From the Departments of Neurology and Ophthalmology, Vanderbilt University Medical Center, Nashville, TN.

Address correspondence and reprint requests to Dr. Patrick J.M. Lavin, Dept. of Neurology, Vanderbilt University Medical Center, 2100 Pierce Ave. #351, Nashville, TN 37212; e-mail: patrick.lavin{at}vanderbilt.edu

Four patients each developed a reversible homonymous hemianopia caused by non-ketotic hyperglycemia. In two patients the homonymous hemianopia was the first manifestation of diabetes mellitus type 2. All four patients had abnormal MRI scans; in the three patients who had late follow-up scans the abnormalities resolved completely. In one patient the progressive visual field defect and unusual MRI findings initially caused concern for a tumor.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the August 23 issue to find the title link for this article.

Supported by a Challenge Grant from Research to Prevent Blindness, Inc.

Disclosure: The author reports no conflicts of interest.

Received October 6, 2004. Accepted in final form April 29, 2005.

This article has been cited by other articles:

				P. Lavin and S. Donahue Magnetic Resonance Imaging Changes Associated With Transient Homonymous Hemianopia in Patients With Nonketotic Hyperglycemia Arch Ophthalmol, October 1, 2008; 126(10): 1467 - 1467. [Full Text] [PDF]

				M. S. Lee and M. Taban Magnetic Resonance Imaging Changes Associated With Transient Homonymous Hemianopia in Patients With Nonketotic Hyperglycemia--Reply Arch Ophthalmol, October 1, 2008; 126(10): 1467 - 1468. [Full Text] [PDF]