Fourteen children with congenital hemiplegia were studied with a detai
led assessment of various aspects of vision (linear acuity, stereopsis
, visual fields) and MRI. The aim of this study was to evaluate the ef
fect of a congenital lesion on visual function. The results showed a v
ery high incidence (78%) of children who had abnormal results on at le
ast one of the visual tests. Visual abnormalities were not correlated
with the clinical severity of hemiplegia or with a specific pattern of
lesion on MRI. Similarly no constant association could be found betwe
en visual structures (optic radiations and primary visual cortex) and
visual function. Finally, our results would suggest that all the child
ren with congenital hemiplegia need to be investigated irrespective of
the clinical severity or the the type or the extent of the lesion. Th
is would help to identify children with minor visual abnormalities whi
ch can affect everyday life performance.