A 63-Year-Old Man With Progressive Visual Symptoms.

Mitchell, Sara B; Lucente, Diane; Larvie, Mykol; Cobos, M I; Frosch, Matthew; Dickerson, Bradford C · JAMA Neurol · 2017

case_report · Level V

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Abstract

A 63-year-old man presented with a 4-year history of insidious onset and gradual progression of visual symptoms including right homonymous hemianopsia, alexia, and simultanagnosia with preserved memory. Magnetic resonance imaging, perfusion single-photon emission computed tomography, and fluorodeoxyglucose positron emission tomographic scans revealed strikingly asymmetric left parieto-occipital abnormality. Neuropsychological testing was performed. The differential diagnosis, pathologic findings, genetic testing results, and diagnosis are discussed.

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