search for


A Case of Bilateral Posterior Cerebral Artery Infarction with Patent Foramen Ovale
Korean J Clin Geri 2017 Dec;18(2):122-125
Published online December 29, 2017;
Copyright © 2017 The Korean Academy of Clinical Geriatrics.

Jung A Park, Young Rok Do, Dong Kuck Lee

Department of Neurology, School of Medicine, Catholic University of Daegu, Daegu, Korea
Received August 22, 2017; Accepted October 30, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Posterior cerebral artery (PCA) infarction is a common and important cause of acute painless visual loss. To our knowledge, nearly total blindness due to bilateral PCA infarction is rare. Patent foramen ovale (PFO) is one of the crucial causes of cryptogenic stroke and it should be regarded as a cause of stroke when cerebrovascular stenosis or other cardioembolic causes of stroke is absent. We report a case of bilateral PCA infarction due to PFO presenting as nearly total blindness.
Keywords : Posterior cerebral artery infarction, Patent foramen ovale, Blindness
  1. Song HJ, Song IB, Kim JM. Characteristics of posterior cerebral infarction. J Korean Neurol Assoc 1993;11:157-63.
  2. Choi CW, Lee SW, Jung JM, Park MH, Kwon DY. Charles Bonnet syndrome following bilateral occipital infarction. J Korean Neurol Assoc 2012;30:372-3.
  3. Lee AY, Lee HB, Jung KY, Kim JM, Chung JS. Anton’s syndrome. J Korean Neurol Assoc 1995;13:347-52.
  4. Beran DI. Acute, painless vision loss. La State Med Soc 2009;161:214-23.
  5. Yamamoto Y, Georgiadis AL, Chang HM, Caplan LR. Posterior cerebral artery territory infarcts in the New England Medical Center Posterior Circulation Registry. Arch Neurol 1999;56:824-32.
    Pubmed CrossRef
  6. Bang OY, Lee MJ, Ryoo SK, Kim SJ, Kim JW. Patent foramen ovale and stroke-current status. J Stroke 2015;17:229-37.
    Pubmed KoreaMed CrossRef
  7. Kent DM, Ruthazer R, Weimar C, Mas JL, Serena J, Homma S, et al. An index to identify stroke-related vs incidental patent foramen ovale in cryptogenic stroke. Neurology 2013;81:619-25.
    Pubmed KoreaMed CrossRef


December 2018, 19 (2)