[Skip to Navigation]
Views 3,415
Citations 0
JAMA Ophthalmology Clinical Challenge
April 16, 2020

Homonymous Hemianopia With Normal Magnetic Resonance Imaging

Author Affiliations
  • 1Wilmer Eye Institute, Division of Neuro-Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Department of Ophthalmology, Duke Eye Center, Durham, North Carolina
  • 3Royal College of Surgeons in Ireland, Dublin, Ireland
JAMA Ophthalmol. 2020;138(6):702-703. doi:10.1001/jamaophthalmol.2020.0447
Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    1 Comment for this article
    EXPAND ALL
    Homonymous Hemianopia With Normal Magnetic Resonance Imaging
    Narayanaswamy Venketasubramanian, MB,BS | Raffles Neuroscience Centre, Raffles Hospital, Singapore
    Thank you for this very illustrative case. May I ask if the MRI brain included DWI sequences?, as it may show increased occipital cortical ribboning in this CJD variant.

    Thank you again

    REFERENCES

    1. Kallenberg K, Schulz-Schaeffer WJ, Jastrow U, Poser S, Meissner B, Tschampa
    HJ, Zerr I, Knauth M. Creutzfeldt-Jakob disease: comparative analysis of MR
    imaging sequences. AJNR Am J Neuroradiol. 2006 Aug;27(7):1459-62.

    2. Young GS, Geschwind MD, Fischbein NJ, Martindale JL, Henry RG, Liu S, Lu Y,
    Wong S, Liu H, Miller BL, Dillon WP. Diffusion-weighted and fluid-attenuated
    inversion recovery imaging in Creutzfeldt-Jakob disease:
    high sensitivity and
    specificity for diagnosis. AJNR Am J Neuroradiol. 2005 Jun-Jul;26(6):1551-62.

    3. Mendez OE, Shang J, Jungreis CA, Kaufer DI. Diffusion-weighted MRI in
    Creutzfeldt-Jakob disease: a better diagnostic marker than CSF protein 14-3-3? J
    Neuroimaging. 2003 Apr;13(2):147-51.

    4. Parker SE, Gujrati M, Pula JH, Zallek SN, Kattah JC. The heidenhain variant of
    Creutzfeldt-Jakob disease--a case series. J Neuroophthalmol. 2014 Mar;34(1):4-9.
    CONFLICT OF INTEREST: None Reported
    READ MORE
    ×