Medical Mystery — Visual-Field Defect
http://www.100md.com
《新英格兰医药杂志》
A 31-year-old woman presented with a sudden onset of an inferonasal visual-field deficit in the left eye 2 days after she had traveled 16 hours by air. Physical examination on the day after the onset of her visual symptoms showed the findings in Panels A, B, and C. Auscultation revealed a systolic ejection murmur over the right upper sternal border. The hematocrit was 57.4%. What is the diagnosis?
Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the December 7 issue and e-mail it to everyone who submits an answer. All answers must be received by October 25.
Jeevan R. Mathura, Jr., M.D.
Lee M. Jampol, M.D.
Northwestern University
Chicago, IL 60611
j-mathura@northwestern.edu
Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the December 7 issue and e-mail it to everyone who submits an answer. All answers must be received by October 25.
Jeevan R. Mathura, Jr., M.D.
Lee M. Jampol, M.D.
Northwestern University
Chicago, IL 60611
j-mathura@northwestern.edu