Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2021; 9(7): 1720-1727
Published online Mar 6, 2021. doi: 10.12998/wjcc.v9.i7.1720
Hyperglycemic hemianopia: A case report
Xiao-Hui Xiang, Jia-Jia Fang, Mi Yang, Guo-Hua Zhao
Xiao-Hui Xiang, Jia-Jia Fang, Mi Yang, Guo-Hua Zhao, Department of Neurology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China
Author contributions: Xiang XH drafted the manuscript for intellectual content; Yang M collected the clinical data; Fang JJ and Zhao GH revised the manuscript for intellectual content; all authors read and approved the final manuscript.
Supported by The fund of Department of Education Zhejiang Province Scientific Research Project, No. Y201839721; Zhejiang Province Medical Science and Technology Project, No. 2017174708, No. 2020RC061, and No. 2018273034; the Zhejiang Provincial Natural Scientific Foundation of China, No. LGF20H090011 and No. LY18H090002; Zhejiang public welfare Technology Application Research Project, No. LGF20H090011; and the Medical and Health Science and Technology Program of Zhejiang Province, No. 2018273034.
Informed consent statement: Written informed consent was obtained from each participant for publication of this case report.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The guidelines of the “CARE Checklist – 2016: Information for writing a case report” have been adopted.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Guo-Hua Zhao, MD, Doctor, Department of Neurology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. N1 Shangcheng Avenue, Yiwu 322000, Zhejiang Province, China.
Received: November 14, 2020
Peer-review started: November 14, 2020
First decision: November 24, 2020
Revised: December 6, 2020
Accepted: December 16, 2020
Article in press: December 16, 2020
Published online: March 6, 2021
Core Tip

Core Tip: Nonketotic hyperglycemia is one of the most common endocrine emergencies. Patients with nonketotic hyperglycemia may present with various neurologic symptoms. We report a case of homonymous hemianopia with occipital seizures caused by hyperglycemia. Aggressive glycemic control and adequate hydration can reverse neurologic deficits. Subcortical T2 and fluid-attenuated inversion recovery hypointensity on resonance imaging were identified as characteristics.