Isolated bilateral lateral geniculate infarction producing bow-tie visual field defects

Can J Ophthalmol. 2006 Oct;41(5):609-13. doi: 10.1016/S0008-4182(06)80033-5.

Abstract

Case report: We examined a unique case of stroke in a 29-year-old woman. Magnetic resonance imaging revealed isolated bilateral acute infarctions of the lateral geniculate bodies (LGB). Visual field testing demonstrated incongruous but homonymous bilateral visual field loss in a bow-tie configuration.

Comments: Isolated bilateral damage to the LGB is a rare event. Literature review has revealed only 4 previous incidents of bilateral damage to both LGB. We present a literature review and a case of bilateral LGB infarction producing visual field defects suggestive of bilateral lateral choroidal artery involvement in an individual with classic migraine.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Infarction / complications*
  • Cholangiopancreatography, Endoscopic Retrograde
  • Choroid / blood supply*
  • Female
  • Geniculate Bodies / blood supply*
  • Humans
  • Magnetic Resonance Imaging
  • Migraine with Aura
  • Vision Disorders / etiology*
  • Visual Field Tests
  • Visual Fields*