Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage After Lumboperitoneal Shunt for Fulminant Idiopathic Intracranial Hypertension

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Title Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage After Lumboperitoneal Shunt for Fulminant Idiopathic Intracranial Hypertension
Creator Anthony Fok, FRACP; Ronil V. Chandra, FRANZCR; Matthew Gutman, MBBS; Matthew Ligtermoet, MBBS; Udaya Seneviratne, FRACP; Peter Kempster, FRACP
Affiliation Departments of Neuroscience (AF, ML, US, PK); Diagnostic Imaging (RVC), Monash Health, Melbourne, Australia; Department of Medicine (RVC, US), Monash University, Melbourne, Australia; and Department of Neurosurgery (MG), Monash Health, Melbourne, Australia
Abstract A 20-year-old woman presented with headache, decreased vision, eye pain, and urinary retention. During her clinical course, visual acuity declined to 20/800, right eye, and 20/50, left eye, associated with bilateral optic disc edema. Brain magnetic resonance imaging revealed enhancement of the leptomeninges, right optic nerve, and right side of the optic chiasm. Extensive evaluation of the central nervous system (CNS) for an infectious cause was negative. Brain biopsy showed a pattern consistent with vasculitis. The patient was treated with prednisone and cyclophosphamide, resulting in improvement of her vision and systemic symptoms. Primary CNS vasculitis is a rare condition that may affect the anterior visual pathways.
Subject Brain; Electroencephalography; Female; Humans; Magnetic Resonance Imaging; Optic Nerve; Optic Neuritis; Vasculitis, Central Nervous System; Visual Acuity; Young Adult
OCR Text Show
Date 2016-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, June 2016, Volume 36, Issue 2
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6np5zwf
Setname ehsl_novel_jno
ID 1276494
Reference URL https://collections.lib.utah.edu/ark:/87278/s6np5zwf
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