| Identifier |
walsh_2002_s2_c1 |
| Title |
Puerperal Binasal Hemianopia |
| Creator |
Richard Imes, MD; Ethan Kutzscher; Ray Gardner |
| Affiliation |
(RI) (EK) (RG) San Francisco, CA |
| Subject |
Abruptio Placentae; Puerperal Disorders; Geniculate Bodies; Hemianopsia; Demyelinating Diseases; Myelinolysis, Central Pontine; Disseminated Intravascular Coagulation |
| History |
A 33-year old female at 30 weeks of gestation admitted to hospital after falling at home. Her hemoglobin level on admission was 11.6 g/dl. She was discharged after a period of observation, then readmitted 12 hours later with abdominal pain, dizziness, and vomiting. Her hemoglobin level on readmission was 10.0 g/dl. Fetal distress was detected and a healthy infant was delivered by emergency cesarean section at which time abruption of the placenta was discovered. Uncontrolled bleeding from the uterus ensued. An elevated D-dimer level, decreasing platelet count, and falling serum fibrinogen levels confirmed disseminated intravascular coagulation. The patient's hemoglobin level fell to 4.0 g/dl at which time blood replacement was begun and an emergency hysterectomy was performed. Post-operative: blurred vision with difficulty distinguishing colors. |
| Pathology |
Lateral geniculate nuclei lesions |
| Disease/Diagnosis |
Demyelination in the lateral geniculate nucleus |
| Clinical |
VA: 20/25 OU; Color plates: 1/7 OU |
| Presenting Symptom |
Abdominal pain; Dizziness; Vomiting |
| Neuroimaging |
MRI |
| Treatment |
Surgery |
| Date |
2002 |
| References |
1. Goldman JE, Horoupian DS. Demyelination of the lateral geniculate nucleus in central pontine myelinolysis. Ann Neurol 1981;9:185-189. 2. Messert B, Orrison WW, Hawkins MJ, Quaglieri CE. Central pontine myelinolysis, Considerations on etiology, diagnosis, and treatment. Neurology 1979;29:147-160. 3. Brown WD. Osmotic demyelination disorders: central pontine and extrapontine myelinolysis. Current Opinion in Neurology 2000;13:691-697. 4. Fujino T. The intrastitial blood supply of the lateral geniculate body. Arch Ophthalmol 1965;74:815-821. 5. Donahue SP, Kardon RH, Thompson HS. Hourglass-shaped visual fields as a sign of bilateral lateral geniculate myelinolysis. Am J Ophthalmol 1995;119:378-380. 6. Greenfield DS, Siatkowski RM, Schatz NJ, Glaser JS. Bilateral lateral geniculitis associated with severe diarrhea. Am J Ophthalmol 1996;122:280-281. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
28th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM |
| Relation is Part of |
NANOS Annual Meeting 2002 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6183964 |
| Setname |
ehsl_novel_fbw |
| ID |
177687 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6183964 |
