Acute Optic Neuritis Associated with Subdural Hematoma (.pdf)

A 70-year old man was referred to neuro-ophthalmology for subacute right monocular vision loss. One week prior to evaluation, he developed a dull right peri-orbital headache, which was followed 3-days later by progressive monocular vision loss. A few days before the onset of his headache, a fifth wheel trailer hitch had struck the top of his head without loss of consciousness. He had also traveled the Western United States in the months before presentation, however, he denied any location-specific infectious symptoms. He denied any history of demyelinating disease. Review of systems was positive for stable idiopathic left hearing loss of several years duration.