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Hemianopsia
Hemianopsia, or hemianopia, is a loss of vision or blindness ( anopsia) in half the visual field, usually on one side of the vertical midline. The most common causes of this damage are stroke, brain tumor, and trauma. This article deals only with permanent hemianopsia, and not with transitory or temporary hemianopsia, as identified by William Wollaston PRS in 1824. Temporary hemianopsia can occur in the aura phase of migraine. Etymology The word ''hemianopsia'' is from Greek origins, where: * ''hemi'' means "half", * ''an'' means "without", and * ''opsia'' means "seeing". Types When the pathology involves both eyes, it is either homonymous or heteronymous. Homonymous hemianopsia Paris as seen with left homonymous hemianopsia A homonymous hemianopsia is the loss of half of the visual field on the same side in both eyes. The visual images that we see to the right side travel from both eyes to the left side of the brain, while the visual images we see to the left side i ...
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Homonymous Hemianopsia
Hemianopsia, or hemianopia, is a visual field loss on the left or right side of the vertical midline. It can affect one eye but usually affects both eyes. Homonymous hemianopsia (or homonymous hemianopia) is hemianopic visual field loss on the same side of both eyes. Homonymous hemianopsia occurs because the right half of the brain has visual pathways for the left hemifield of both eyes, and the left half of the brain has visual pathways for the right hemifield of both eyes. When one of these pathways is damaged, the corresponding visual field is lost. Signs and symptoms Paris as seen with right homonymous hemianopsia Mobility can be difficult for people with homonymous hemianopsia. "Patients frequently complain of bumping into obstacles on the side of the field loss, thereby bruising their arms and legs." People with homonymous hemianopsia often experience discomfort in crowds. "A patient with this condition may be unaware of what he or she cannot see and frequently bumps ...
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Bitemporal Hemianopsia
Bitemporal hemianopsia is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field. It is usually associated with lesions of the optic chiasm, the area where the optic nerves from the right and left eyes cross near the pituitary gland. Causes In bitemporal hemianopsia, vision is missing in the outer (temporal or lateral) half of both the right and left visual fields. Information from the temporal visual field falls on the nasal (medial) retina. The nasal retina is responsible for carrying the information along the optic nerve, and crosses to the other side at the optic chiasm. When there is compression at the optic chiasm, the visual impulse from both nasal retina are affected, leading to inability to see the temporal, or peripheral, field of vision. This phenomenon is known as bitemporal hemianopsia. Knowing the neurocircuitry of visual signal flow through the optic tract is very important in unde ...
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Binasal Hemianopsia
Binasal hemianopsia is the medical description of a type of partial blindness where vision is missing in the inner half of both the right and left visual field. It is associated with certain lesions of the eye and of the central nervous system, such as congenital hydrocephalus. Causes In binasal hemianopsia, vision is missing in the inner (nasal or medial) half of both the right and left visual fields. Information from the nasal visual field falls on the temporal (lateral) retina. Those lateral retinal nerve fibers do not cross in the optic chiasm. Calcification of the internal carotid arteries can impinge the uncrossed, lateral retinal fibers, leading to loss of vision in the nasal field. Clinical testing of visual fields (by confrontation) can produce a false positive result, particularly in inferior nasal quadrants. Management Etymology The absence of Visual perception, vision in half of a visual field is described as ''hemianopsia''. The absence of visual perception in o ...
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Visual Field
The visual field is "that portion of space in which objects are visible at the same moment during steady fixation of the gaze in one direction"; in ophthalmology and neurology the emphasis is mostly on the structure inside the visual field and it is then considered “the field of functional capacity obtained and recorded by means of perimetry”.Strasburger, Hans; Pöppel, Ernst (2002). Visual Field. In G. Adelman & B.H. Smith (Eds): ''Encyclopedia of Neuroscience''; 3rd edition, on CD-ROM. Elsevier Science B.V., Amsterdam, New York. However, the visual field can also be understood as a predominantly ''perceptual'' concept and its definition then becomes that of the "spatial array of visual sensations available to observation in introspectionist psychological experiments" (for example in van Doorn et al., 2013). The corresponding concept for optical instruments and image sensors is the field of view (FOV). In humans and animals, the FOV refers to the area visible when eye mov ...
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Anopsia
An anopsia () is a defect in the visual field. If the defect is only partial, then the portion of the field with the defect can be used to isolate the underlying cause. It is particularly used to describe the lack of sight in one eye. Variants Types of partial anopsia include: *Hemianopsia **Homonymous hemianopsia ** Heteronymous hemianopsia ***Binasal hemianopsia ***Bitemporal hemianopsia ** Superior hemianopia ** Inferior hemianopia *Quadrantanopia Quadrantanopia, quadrantanopsia, refers to an anopia (loss of vision) affecting a quarter of the visual field. It can be associated with a lesion of an optic radiation. While quadrantanopia can be caused by lesions in the Temporal lobe, tempora ... References External links Visual disturbances and blindness {{eye-stub ...
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Craniopharyngioma
A craniopharyngioma is a rare type of brain tumor derived from pituitary gland embryonic tissue that occurs most commonly in children, but also affects adults. It may present at any age, even in the prenatal and neonatal periods, but peak incidence rates are childhood-onset at 5–14 years and adult-onset at 50–74 years. People may present with Quadrantanopia, bitemporal inferior quadrantanopia leading to bitemporal hemianopsia, as the tumor may compress the optic chiasm. It has a point prevalence around two per 1,000,000. Craniopharyngiomas are distinct from Rathke's cleft cyst, Rathke's cleft tumours and intrasellar arachnoid cysts. Symptoms and signs Craniopharyngiomas are almost always Benign tumor, benign. However, as with many brain tumors, their treatment can be difficult, and significant morbidities are associated with both the tumor and treatment. * Headache (obstructive hydrocephalus) * Hypersomnia * Myxedema * Postsurgical weight gain (hypothalamic obesity) * Polydip ...
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Quadrantanopia
Quadrantanopia, quadrantanopsia, refers to an anopia (loss of vision) affecting a quarter of the visual field. It can be associated with a lesion of an optic radiation. While quadrantanopia can be caused by lesions in the Temporal lobe, temporal and parietal lobes of the Human brain, brain, it is most commonly associated with lesions in the occipital lobe.Kolb, B & Whishaw, I.Q. Human Neuropsychology, Sixth Edition, p.361; Worth Publishers (2008) Presentation An interesting aspect of quadrantanopia is that there exists a distinct and sharp border between the intact and damaged visual fields, due to an anatomical separation of the quadrants of the visual field. For example, information in the left half of visual field is processed in the right occipital lobe and information in the right half of the visual field is processed in the left occipital lobe. In a quadrantanopia that is partial, there also exists a distinct and sharp border between the intact and damaged field within ...
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Stroke
Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemorrhagic, due to bleeding. Both cause parts of the brain to stop functioning properly. Signs and symptoms of stroke may include an hemiplegia, inability to move or feel on one side of the body, receptive aphasia, problems understanding or expressive aphasia, speaking, dizziness, or homonymous hemianopsia, loss of vision to one side. Signs and symptoms often appear soon after the stroke has occurred. If symptoms last less than 24 hours, the stroke is a transient ischemic attack (TIA), also called a mini-stroke. subarachnoid hemorrhage, Hemorrhagic stroke may also be associated with a thunderclap headache, severe headache. The symptoms of stroke can be permanent. Long-term complications may include pneumonia and Urinary incontinence, loss of b ...
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Migraine
Migraine (, ) is a complex neurological disorder characterized by episodes of moderate-to-severe headache, most often unilateral and generally associated with nausea, and light and sound sensitivity. Other characterizing symptoms may include vomiting, cognitive dysfunction, allodynia, and dizziness. Exacerbation or worsening of headache symptoms during physical activity is another distinguishing feature. Up to one-third of people with migraine experience aura, a premonitory period of sensory disturbance widely accepted to be caused by cortical spreading depression at the onset of a migraine attack. Although primarily considered to be a headache disorder, migraine is highly heterogenous in its clinical presentation and is better thought of as a spectrum disease rather than a distinct clinical entity. Disease burden can range from episodic discrete attacks to chronic disease. Migraine is believed to be caused by a mixture of environmental and genetic factors that influe ...
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Optic Radiation
In neuroanatomy, the optic radiation (also known as the geniculocalcarine tract, the geniculostriate pathway, and posterior thalamic radiation) are axons from the neurons in the lateral geniculate nucleus to the primary visual cortex. The optic radiation receives blood through deep branches of the middle cerebral artery and posterior cerebral artery. They carry visual information through two divisions (called upper and lower division) to the visual cortex (also called ''striate cortex'') along the calcarine fissure. There is one set of upper and lower divisions on each side of the brain. If a lesion only exists in one unilateral division of the optic radiation, the consequence is called quadrantanopia, which implies that only the respective superior or inferior quadrant of the visual field is affected. If both divisions on one side of the brain are affected, the result is a contralateral homonymous hemianopsia. Structure The upper division: :* Projects to the upper bank of t ...
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