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October 1940


Author Affiliations

Fellow in Ophthalmology, the Mayo Foundation; ROCHESTER, MINN.
From the Section on Ophthalmology, the Mayo Clinic (Dr. Rucker).

Arch Ophthalmol. 1940;24(4):800-802. doi:10.1001/archopht.1940.00870040186021

Bitemporal hemianopia is an infrequent result of injury to the head. Østerberg,1 in reviewing the 30 such cases in the literature and 2 of his own, found in most of them certain common features : Blunt violence applied to the front of the skull caused a relatively slight fracture that did not extend to the region of the sella turcica but caused a rupture of the skull cap; the patients were comparatively young men of about 30 years whose skull bones consequently were rather plastic.

The following case supports Østerberg's impressions.

REPORT OF A CASE  A man aged 37 entered the Mayo Clinic on Oct. 31, 1939 complaining of limited fields of vision and of nonunion of a fracture of the left hip. He related that on March 14, 1938, while driving an automobile he had had a head-on collision with a truck. After this accident he had been unconscious