Homonymous hemianopia as the presenting sign of posterior cortical atrophy
Bibliographic record
Abstract
A 56-year-old man reported 1 year of progressive decline in the vision of both eyes, left more than right. He had difficulty explaining his symptoms. Although he could clearly see the letters of text when reading, he struggled to verbalise and understand the content. He took amitriptyline and sertraline for anxiety and depression. Visual acuity was 6/12 (20/40) in each eye with normal ocular examination. He read simple material in a slow, halting fashion and made several errors. He scored 20/30 on mini-mental state examination. Formal visual field testing identified an incongruous left homonymous defect with good reliability (figure 1A). Figure 1 Homonymous field defect in posterior cortical atrophy. (A) 24-2 Humphrey visual fields showing left homonymous field defect. MR scan of the brain showing no structural lesion, only mild posterior atrophy with prominent sulci within …
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".