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Neurocase
Behavior, Cognition and Neuroscience
Volume 14, 2008 - Issue 2
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Original Articles

Hemispatial visual defect in Alzheimer's disease

Haruhiko Oda Department of Psychiatry and Neurology, Kobe University Graduate School of Medicine, Kusunoki-cho, Chuou-ku, Kobe, JapanCorrespondence[email protected]
,
Shingo Ohkawa Department of Aging Brain and Cognitive, Hyogo Brain and Heart Center at Himeji, Saisho-Ko, Himeji, Japan
&
Kiyoshi Maeda Department of Psychiatry and Neurology, Kobe University Graduate School of Medicine, Kusunoki-cho, Chuou-ku, Kobe, Japan
Pages 141-146 | Received 09 Nov 2007, Accepted 05 Mar 2008, Published online: 19 Jun 2008
 
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Abstract

We describe a 56-year-old woman with Alzheimer's disease with left hemispatial neglect and left homonymous hemianopsia with macular sparing considered a manifestation of Alzheimer's disease resulting from severe degenerative change in the right primary visual cortex. Hemispatial neglect normally results from brain damage to the right cerebral hemisphere. Homonymous hemianopsia is commonly the result of localized brain disease, especially cerebral infarction or hemorrhage. To our knowledge, a patient with Alzheimer's disease showing hemispatial neglect and homonymous hemianopsia with macular sparing has not previously been reported.

We are greatful to Kazunari Ishii for advice on radiologic findings.

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