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Neuro-Ophthalmology Volume 10, 1990 - Issue 5
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Original Article

Monocular paracentral scotoma in occipital lobe infarction

P. C. G. Nijssen Department of Neurology, St. Elisabeth Hospital, P.O. Box 90151, Tilburg, The Netherlands
,
L. A. K. Bastiaensen Department of Ophthalmology, St. Elisabeth Hospital, P.O. Box 90151, Tilburg, The Netherlands
&
C. C. Tijssen Department of Neurology, St. Elisabeth Hospital, P.O. Box 90151, Tilburg, The Netherlands
Pages 235-238 | Accepted 12 Apr 1990, Published online: 08 Jul 2009
 
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Abstract

Occipital lobe lesions usually cause congruent homonymous visual field defects of both eyes. The authors describe a patient with a right occipital lobe infarction, presenting with a small paracentral visual field defect of only the left contralateral eye. Repeated perimetry showed no evident visual field defect in the right eye. A definite explanation for the remarkable discon-gruence is lacking, but several mechanisms are proposed.

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