Anomalous head posture with early-onset homonymous hemianopia

J AAPOS. 1997 Dec;1(4):209-13. doi: 10.1016/s1091-8531(97)90039-2.


Purpose: We have noted the frequent finding of an ipsilateral head turn in children with early-onset homonymous hemianopia. We report a series of patients with these findings and propose a theory to explain this association.

Methods: Ten patients with early-onset homonymous hemianopia and anomalous head posture were examined. Head computed tomography and magnetic resonance imaging confirmed a cerebral lesion as the cause of the hemianopia in all patients.

Results: All patients had onset of central nervous system disease prenatally or before age 18 months. A head turn toward the visual field defect with a gaze preference contralateral to the visual field defect was present in all patients.

Conclusions: Early-onset homonymous hemianopia should be included in the differential diagnosis of anomalous head posture.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age of Onset
  • Brain Diseases / complications
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Fixation, Ocular
  • Head / physiopathology*
  • Hemianopsia / diagnosis
  • Hemianopsia / epidemiology
  • Hemianopsia / etiology
  • Hemianopsia / physiopathology*
  • Humans
  • Infant
  • Male
  • Posture*
  • Visual Fields