1 Hemianopia Damage to one side of the brain can cause visual handicap.

2 Chart 2. Homonymous hemianopia of left side.

3 Results The hemianopia and visual disturbance improvement were 81.3%, controlling of endocrine hypersecretion and tumor growth were 84% and 96% respectively.

4 Initial examination showed global aphasia, right homonymous hemianopia , right hemiplegia, and hemisensory loss.

5 We report a patient who developed a complete left homonymous hemianopia from mass effect of a solitary skull metastasis of hepatocellular carcinoma (HCC).

6 The cross asymmetrical distribution of P-VEPs appears in most of the patients with bitemperal hemianopia.

7 Conclusion HSN is a right cerebral hemisphere disease relating to cognitive impairment while homonymous hemianopia is the defect of visual field.