Pediatric Homonymous Superior Quadrantanopia in the Presence of Acute Vertebral Artery Dissection

Abstract

Most patients with vertebral artery dissection present with signs of posterior circulation ischemia consisting of neurological deficits, headaches, or neck pain. This case report highlights the unique clinical features and diagnostic imaging seen in the work-up of this rare disease process and exemplifies the importance of identifying acute visual symptoms in an emergency situation.

Childhood Stroke and Vision: A Review of the Literature

“…Of these, hemianopsia was the most common [9,[11][12][13][14][15][16]. Visual acuity was normal in three cases [17,19,20], and abnormal in one case [12]. Visual acuity in the other cases was not specifically addressed.…”

“…Table 2 includes 43 children. As in perinatal stroke, visual field defects were the most common visual deficit reported [9,[11][12][13][14][15][16][17][18][19]. Of these, hemianopsia was the most common [9,[11][12][13][14][15][16].…”

“…The types of visual abnormalities after childhood stroke are summarized in Table 2, which describes 43 patients. Visual field deficits were the most commonly reported visual abnormality post stroke [9,[11][12][13][14][15][16][17][18][19].…”