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March 1969

Transient Visual Cortical Defects Associated With Paroxysmal Hypertension: In Patients With Traumatic Spinal Cord Transections

Author Affiliations

From the Department of Ophthalmology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland.

Arch Ophthalmol. 1969;81(3):325-327. doi:10.1001/archopht.1969.00990010327004

Two patients are presented who demonstrated transient visual cortical defects following episodes of paroxysmal hypertension. Both patients were quadraplegic as a result of cervical spinal cord injuries. The hypertension was a part of the autonomic hyperreflexia syndrome commonly seen in patients with traumatic spinal cord transections.

The visual disturbances consisted of a partial homonymous hemianopsia in the first patient, and concentric constriction of the visual fields with markedly reduced central acuity in the second. Full recovery occurred within several days in both.