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Previous Volume 355:1592 October 12, 2006 Number 15 Next

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View larger version (26K): [in this window] [in a new window]   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{at}northwestern.edu

Related Letters:

Medical Mystery: Visual-Field Defect — The Answer
Mathura J. R. Jr., Jampol L. M.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:2493, Dec 7, 2006. Correspondence

This article has been cited by other articles:

• Mathura, J. R. Jr., Jampol, L. M. (2006). Medical Mystery: Visual-Field Defect -- The Answer. NEJM 355: 2493-2493 [Full Text]