Optic tract injury after anterior temporal lobectomy

Three patients had complete homonymous hemianopia with clinical and neuroimaging characteristics of ipsilateral optic tract infarction after anterior temporal lobectomy for seizure control. This injury presumably resulted from irritative vasospasm of the anterior choroidal artery. The features of th...

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Bibliographic Details
Published in:	Ophthalmology (Rochester, Minn.) Vol. 96; no. 7; p. 1065
Main Authors:	Anderson, D R, Trobe, J D, Hood, T W, Gebarski, S S
Format:	Journal Article
Language:	English
Published:	United States 01-07-1989
Subjects:	Adult Angiography Electroencephalography Female Hemianopsia - complications Humans Magnetic Resonance Imaging Male Optic Disk - pathology Optic Nerve Injuries Temporal Lobe - surgery Tomography, X-Ray Computed Visual Acuity Visual Fields
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Summary:	Three patients had complete homonymous hemianopia with clinical and neuroimaging characteristics of ipsilateral optic tract infarction after anterior temporal lobectomy for seizure control. This injury presumably resulted from irritative vasospasm of the anterior choroidal artery. The features of this pure optic tract syndrome should be distinguished from the more common compressive optic tract syndrome which generally also impairs ipsilateral optic nerve function.
ISSN:	0161-6420
DOI:	10.1016/S0161-6420(89)32783-7