Bitemporal Hemianopia

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Bitemporal Hemianopia


  • loss of temporal halves of both visual fields
  • usually due to compression of optic chiasm

Causes

  • pituitary tumour
  • other tumours
    • craniopharyngioma
    • meningioma
  • aneurysm

Examination

  • General
    • signs of pituitary disease
  • Acuity
    • normal (unless coexisting optic nerve compression)
  • Fields
    • upper quadrant bitemporal hemianopia
      • pituitary tumour 
    • lower quadrant bitemporal hemianopia
      • craniopharyngioma
  • Pupils 
    • normal
  • Movements
    • normal
  • Fundi
 

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