Quadrantanopia
Implies that only the respective superior or inferior quadrant of the visual field is affected.
Anterior temporal lobectomy is often complicated by quadrantanopia. In some cases this can be severe enough to prohibit driving, even if a patient is free of seizures. These deficits are caused by damage to Meyers loop of the optic radiation, which shows considerable heterogeneity in its anterior extent. This structure cannot be distinguished using clinical magnetic resonance imaging sequences.
Optic radiation tractography by DTI could be a useful method to assess an individual patient's risk of postoperative visual deficit 1). 2).
1)
Borius PY, Roux FE, Valton L, Sol JC, Lotterie JA, Berry I. Can DTI fiber
tracking of the optic radiations predict visual deficit after surgery? Clin
Neurol Neurosurg. 2014 Jul;122:87-91. doi: 10.1016/j.clineuro.2014.04.017. Epub
2014 May 5. PubMed PMID: 24908224.
2)
James JS, Radhakrishnan A, Thomas B, Madhusoodanan M, Kesavadas C, Abraham M,
Menon R, Rathore C, Vilanilam G. Diffusion tensor imaging tractography of Meyer's
loop in planning resective surgery for drug-resistant temporal lobe epilepsy.
Epilepsy Res. 2015 Feb;110:95-104. doi: 10.1016/j.eplepsyres.2014.11.020. Epub
2014 Nov 27. PubMed PMID: 25616461.