{"id":902,"date":"2019-01-06T09:25:38","date_gmt":"2019-01-06T08:25:38","guid":{"rendered":"http:\/\/geremi.fr\/?p=902"},"modified":"2019-07-12T11:04:22","modified_gmt":"2019-07-12T09:04:22","slug":"hemianopsie-laterale-homonyme-gauche","status":"publish","type":"post","link":"https:\/\/geremi.fr\/index.php\/2019\/01\/06\/hemianopsie-laterale-homonyme-gauche\/","title":{"rendered":"H\u00e9mianopsie Lat\u00e9rale Homonyme Gauche"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<strong>Observation<\/strong><br \/>\nH\u00e9mianopsie lat\u00e9rale homonyme gauche en rapport avec un AVC droit<\/p>\n<p><strong>Histoire de la maladie<\/strong><br \/>\nPatiente de 91 ans, suivie en ophtalmologie pour DMLA bilat\u00e9rale mixte (exsudative et atrophique) ayant n\u00e9cessit\u00e9 la r\u00e9alisation d\u2019injection intra-vitr\u00e9enne d\u2019anti-VEGF.<br \/>\nVit \u00e0 domicile, a pr\u00e9sent\u00e9 des chutes \u00e0 domicile \u00e0 r\u00e9p\u00e9tition ayant n\u00e9cessit\u00e9 une hospitalisation pour prise en charge d\u2019un Sd post-chute. Diagnostic de troubles hydro-\u00e9lectrolytique (hyponatr\u00e9mie hypo-osmolaire), an\u00e9mie normocytaire inflammatoire avec Sd inflammatoire sans point d\u2019appel clinique de r\u00e9gression spontan\u00e9. D\u00e9nutrition s\u00e9v\u00e8re avec prise en charge nutritionnelle et r\u00e9\u00e9ducation par kin\u00e9sith\u00e9rapie \u00e0 la marche. Au d\u00e9cours du retour \u00e0 domicile, AVC isch\u00e9mique (pas plus d\u2019informations, imagerie c\u00e9r\u00e9brale hors CHU). Consultation qui se fait \u00e0 distance de cet AVC. Confirmation au d\u00e9cours de la p\u00e9rim\u00e9trie cin\u00e9tique des constatations cliniques d\u2019h\u00e9mianopsie lat\u00e9rale homonyme gauche.<\/p>\n<p><strong>ATCD<\/strong> : hypothyro\u00efdie, psoriasis, dyslipid\u00e9mie, AOMI, fractures multiples (cotyle gauche, pertrochant\u00e9rienne gauche, f\u00e9morale droite), cataracte op\u00e9r\u00e9e.<br \/>\n<strong>TTT<\/strong> : kardegic, sotalol, levothyrox, spiriva<\/p>\n<p><strong>Ex ophtalmo<\/strong><br \/>\nAV : 2\/10 Parinaud 8 \u00e0 droite , \u00ab compte les doigts \u00bb \u00e0 gauche<br \/>\nLAF : corn\u00e9e claire, chambre ant\u00e9rieure calme profonde avec implants de chambre post\u00e9rieure en place<br \/>\nPIO : 15 mmHg<br \/>\nFO : DMLA avec drusen et atrophie (pas d\u2019activit\u00e9 n\u00e9ovasculaire)<\/p>\n<p><strong>Ex g\u00e9n\u00e9ral<\/strong> (non disponible)<br \/>\n<strong>Ex compl\u00e9mentaires<\/strong> (non disponible)<\/p>\n<p><strong>R\u00e9flexes pour le DFASM<\/strong><br \/>\nReconna\u00eetre une h\u00e9mianopsie lat\u00e9rale homonyme et caract\u00e9riser l\u2019atteinte par rapport au chiasma optique (r\u00e9tro-chiasmatique).<br \/>\nPeut faire l\u2019objet d\u2019un dossier pluridisciplinaire g\u00e9riatrie, neurologie et ophtalmologie avec prise en charge du handicap et mise en place d\u2019aides \u00e0 domicile.[\/vc_column_text]<div id=\"69d8d88ab935c\" class=\"gg_gallery_wrap gg_true_gallery gg_standard_gallery gid_894 ggom_13  ggom_txt_vis ggom_hide_all\" data-gg_ol=\"13\"   rel=\"894\" data-nores-txt=\"No images found\">      <div class=\"gg_loader\">  <div class=\"ggl_1\"><\/div>  <div class=\"ggl_2\"><\/div>  <div class=\"ggl_3\"><\/div>  <div class=\"ggl_4\"><\/div><\/div>  <div class=\"gg_container\"><div class=\"gg_img \" data-gg-url=\"https:\/\/drive.google.com\/uc?id=1Wso-8UfGQAgpxRmpqTGE_ZuwW3ZfnLG4\" data-gg-title=\"Champ Visuel OD.jpg\" data-gg-author=\"Sacha Nahon\" data-gg-descr=\"\" data-img-id=\"0\" rel=\"894\">  <div 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Gauche\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":900,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[490],"tags":[1164],"discipline":[],"class_list":{"0":"post-902","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-490","8":"tag-dossier"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u00e9mianopsie Lat\u00e9rale Homonyme Gauche - 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