ABSTRACT

Analysis of the effect of physiological variables was done by D. B. Hier, J. Mondlock, and L. R. Caplan for a larger group of patients. The patient was a 50-year-old man who was the director of a small garden business. In January 1973, he presented with a sudden episode of unconsciousness followed by visual disorders consisting of left hemianopsia and dimmed vision. EEG showed right temporal slow waves. In March 1973, because of the persistence of epileptic signs, the patient was hospitalized in the neurology unit of St. Luc Hospital. At the neurological examination, a left homonymous hemianopsia without macular sparing was observed. After surgery, the patient presented with complete left hemianopsia and significant visual neglect with left asomatognosia and a massive construction apraxia. The patient seemed aware of his trouble but indifferent to it. There was some apathy and depression, and the patient spent long periods sitting in a chair without doing anything.