ISSN: 2459-1777 | E-ISSN 2587-0394
Volume : 9 Issue : 2 Year : 2024
Beyoglu Eye Journal Intracerebral Hemorrhage Manifesting as Optic Aphasia: A Case Report [Beyoglu Eye J]
Beyoglu Eye J. 2024; 9(2): 109-113 | DOI: 10.14744/bej.2024.43765

Intracerebral Hemorrhage Manifesting as Optic Aphasia: A Case Report

Christopher Andrean Putra Johansyah1, Leliana Bambang2
1Dr. Oen General Hospital, Sukoharjo, Central Java, Indonesia
2Department of Ophthalmology, Dr. Oen General Hospital, Sukoharjo, Central Java, Indonesia

Optic aphasia is a rare neurological disorder that affects the visual-semantic ability of patients with normal vision and is caused by a lesion in the left occipital lobe. The signs and symptoms of optic aphasia are similar to those of associative visual agnosia, where patients have difficulty recognizing objects both in shape and function, resulting in challenges per-forming daily tasks. The transformation to optic aphasia or associative visual agnosia is closely related to the degree of damage to the corpus callosum, with some studies hypothetically suggesting that complete damage to the corpus callosum leads to optic aphasia, whereas incomplete damage causes associative visual agnosia. We present a case of a 60-year-old man with a history of intracerebral hemorrhage in the left occipitotemporoparietal lobe. The patient complained of intermittent episodes of painless, blurry vision. Upon examination, we observed that the patient was unable to read the Snellen chart, although he could draw the letter. Furthermore, we discovered that the patient had difficulty naming objects and instruments, even though he was able to express their shape and function through gestures and mimicry. The signs and symptoms of the patient, along with the result of the multi-slice non-contrast CT scan, suggest that he had optic aphasia rather than associative visual agnosia. A comprehensive neuropsychological and aphasia examination needs to be performed to further assess the condition of our patient and establish the diagnosis.

Keywords: Intracerebral hemorrhage, optic aphasia, visual agnosia.

Christopher Andrean Putra Johansyah, Leliana Bambang. Intracerebral Hemorrhage Manifesting as Optic Aphasia: A Case Report. Beyoglu Eye J. 2024; 9(2): 109-113

Corresponding Author: Christopher Andrean Putra Johansyah, Indonesia
Manuscript Language: English
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