Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
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 patie...
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Dove Medical Press
2016-06-01
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| Series: | Neuropsychiatric Disease and Treatment |
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| Online Access: | https://www.dovepress.com/recognized-homonymous-hemianopsia-and-delirium-during-the-admission-ex-peer-reviewed-fulltext-article-NDT |
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| author | Tsymbalov K Fetkenhour D |
| author_facet | Tsymbalov K Fetkenhour D |
| author_sort | Tsymbalov K |
| collection | DOAJ |
| description | 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  |
| format | Article |
| id | doaj-art-3f51f47959984f7cac6d0e8f917331f6 |
| institution | Matheson Library |
| issn | 1178-2021 |
| language | English |
| publishDate | 2016-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj-art-3f51f47959984f7cac6d0e8f917331f62025-06-26T01:58:35ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-06-01Volume 12Issue 11385138827450Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new strokeTsymbalov K0Fetkenhour DDepartment of Physical Medicine and RehabilitationKonstantin 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 https://www.dovepress.com/recognized-homonymous-hemianopsia-and-delirium-during-the-admission-ex-peer-reviewed-fulltext-article-NDTphysical examhomonymous hemianopsiastrokeesophageal |
| spellingShingle | Tsymbalov K Fetkenhour D Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke Neuropsychiatric Disease and Treatment physical exam homonymous hemianopsia stroke esophageal |
| title | Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke |
| title_full | Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke |
| title_fullStr | Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke |
| title_full_unstemmed | Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke |
| title_short | Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke |
| title_sort | recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke |
| topic | physical exam homonymous hemianopsia stroke esophageal |
| url | https://www.dovepress.com/recognized-homonymous-hemianopsia-and-delirium-during-the-admission-ex-peer-reviewed-fulltext-article-NDT |
| work_keys_str_mv | AT tsymbalovk recognizedhomonymoushemianopsiaanddeliriumduringtheadmissionexaminationleadingtodiagnosisandappropriatetreatmentofanewstroke AT fetkenhourd recognizedhomonymoushemianopsiaanddeliriumduringtheadmissionexaminationleadingtodiagnosisandappropriatetreatmentofanewstroke |