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Journal of Clinical and Applied Neurosciences                            Volume 1; Issue 1                                   Jan-Jun 2015
CASE REPORT
The clinical potential for serial visual field assessment in patients with parietal lobe lesions: an illustration with a ruptured left parietal cerebral arterio-venous malformation
Olufunmilola A OGUN1, Abiodun A ADEYINKA2,
Atinuke M AGUNLOYE
2, Temitayo SHOKUNBI3


AFFILIATIONS
Departments of:
1Ophthalmology
2Radiology
3Surgery
College of Medicine
University of Ibadan /
University College Hospital
Ibadan, NIGERIA


CORRESPONDING AUTHOR
Temitayo SHOKUNBI
Division of Neurological Surgery, Department of Surgery, College of Medicine
University of Ibadan /
Department of Neurological Surgery, University College Hospital, Ibadan, NIGERIA
Email: temitayoshokunbi@yahoo.com
Phone: +234 802 291 2220

ABSTRACT
Background: The parietal lobe plays an important role in integrating visual, auditory and somatic sensory information to create an awareness of the body in space, which guides the planning and execution of movements. Parietal lobe lesions therefore present with deficits of sensory, visual and executive functions.
Methodology: Serial visual field assessment was performed in a patient with acute dominant parietal lobe haematoma following the rupture of an arteriovenous malformation.
Results: This case report is presented and concepts are discussed, exploring the use of serial visual field assessment as a surrogate means of monitoring neurological improvement where serial neuroimaging may not be possible.
Conclusion: In practice settings with limited access to neuroimaging, the potential for the use of serial visual field assessments in conjunction with clinical observation, as a simple means of monitoring lesion resolution or progression and functional recovery or deterioration is proposed. Future research is recommended to confirm this.

Keywords: Haematoma, intracerebral, neuroimaging, visual recovery

Received: 15
th February, 2015                                                                              Accepted: 15th March, 2015