Neurorehabilitation of saccadic ocular movement in a patient with a homonymous hemianopia postgeniculate caused by an arteriovenous malformation: A Case Report.

摘要: Rationale: Visual therapy, which includes a restorative and compensatory approach, seems to be viable treatment option for homonymous defects of the visual field in patients with postgeniculate injury pathway, due occipital arteriovenous malformation (AVM). Until now, Mexican population suffering from hemianopia did not have health services that provided any type therapy their condition. Patient concerns: A 31-year-old patient, who underwent surgical procedure resection AVM, was referred posterior low vision on left side. Diagnoses: The patient diagnosed hemianopia. Interventions: neurorehabilitation (NRT), integrated approaches, administered 3 hours each week. NRT included fixation, follow-up, search, peripheral vision, reading. Outcomes: change and, retinotopocally, same campimetric remained. However, after training tracking ocular movements improved standard values ENG, further, search became more organized. reading reached level without mistakes, rhythm goog intonation. Beck test demostrated an improvement depression symptoms. Regarding daily life activities, reported significant improvements. Lessons: can significantly improve eye movements, as well quality independence patient. This integral approach could effective therapeutic field.