Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke

Konstantin S Tsymbalov, Douglas R Fetkenhour Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA Abstract: This case report describes the detection of homonymous hemianopsia and delirium during the admission physical examination of a patie...

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Autores principales:	Tsymbalov KS, Fetkenhour DR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	physical exam homonymous hemianopsia stroke esophageal Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/83aa8c074c3642fcb18b4de4df1fb417
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spelling	oai:doaj.org-article:83aa8c074c3642fcb18b4de4df1fb4172021-12-02T03:39:16ZRecognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke1178-2021https://doaj.org/article/83aa8c074c3642fcb18b4de4df1fb4172016-06-01T00:00:00Zhttps://www.dovepress.com/recognized-homonymous-hemianopsia-and-delirium-during-the-admission-ex-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Konstantin S Tsymbalov, Douglas R Fetkenhour Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA Abstract: This case report describes the detection of homonymous hemianopsia and delirium during the admission physical examination of a patient with esophageal adenocarcinoma, resulting in the new diagnosis of subacute hemorrhagic stroke. The poststroke visual field defect can result in significant disability and reduction in quality of life. Patients with visual field cut show a severely reduced quality of life and require additional neuropsychological and visual rehabilitation. Only thorough physical examination is able to challenge prior negative positron emission tomography scan, leading to the diagnosis of subacute stroke and, following appropriate treatment, secondary stroke prophylaxis and rehabilitation, instead of brain radiation and chemotherapy. Keywords: physical examination, homonymous hemianopsia, stroke, esophageal tumor Tsymbalov KSFetkenhour DRDove Medical Pressarticlephysical examhomonymous hemianopsiastrokeesophagealNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1385-1388 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical exam homonymous hemianopsia stroke esophageal Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	physical exam homonymous hemianopsia stroke esophageal Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Tsymbalov KS Fetkenhour DR Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
description	Konstantin S Tsymbalov, Douglas R Fetkenhour Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA Abstract: This case report describes the detection of homonymous hemianopsia and delirium during the admission physical examination of a patient with esophageal adenocarcinoma, resulting in the new diagnosis of subacute hemorrhagic stroke. The poststroke visual field defect can result in significant disability and reduction in quality of life. Patients with visual field cut show a severely reduced quality of life and require additional neuropsychological and visual rehabilitation. Only thorough physical examination is able to challenge prior negative positron emission tomography scan, leading to the diagnosis of subacute stroke and, following appropriate treatment, secondary stroke prophylaxis and rehabilitation, instead of brain radiation and chemotherapy. Keywords: physical examination, homonymous hemianopsia, stroke, esophageal tumor
format	article
author	Tsymbalov KS Fetkenhour DR
author_facet	Tsymbalov KS Fetkenhour DR
author_sort	Tsymbalov KS
title	Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
title_short	Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
title_full	Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
title_fullStr	Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
title_full_unstemmed	Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
title_sort	recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/83aa8c074c3642fcb18b4de4df1fb417
work_keys_str_mv	AT tsymbalovks recognizedhomonymoushemianopsiaanddeliriumduringtheadmissionexaminationleadingtodiagnosisandappropriatetreatmentofanewstroke AT fetkenhourdr recognizedhomonymoushemianopsiaanddeliriumduringtheadmissionexaminationleadingtodiagnosisandappropriatetreatmentofanewstroke
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Recognized homonymous hemianopsia and delirium during the admission examination leading to diagnosis and appropriate treatment of a new stroke

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