Homonymous Hemianopic Hyporeflective Retinal Abnormality on Infrared Confocal Scanning Laser Photography: A Novel Sign of Optic Tract Lesion

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Title Homonymous Hemianopic Hyporeflective Retinal Abnormality on Infrared Confocal Scanning Laser Photography: A Novel Sign of Optic Tract Lesion
Creator Mario L. R. Monteiro, MD, PhD, Rafael B. Araújo, MD, Ana C. F. Suzuki, MD,Leonardo P. Cunha, MD, PhD, Rony C. Preti, MD, PhD
Affiliation Division of Ophthalmology and Laboratory of Investigation in Ophthalmology (LIM 33) (MLRM, RBA, ACFS, RCP), University of São Paulo Medical School, São Paulo, Brazil; and Department of Ophthalmology (LPC), Federal University of Juiz de Fora, Minas Gerais, Brazil
Abstract A 57-year-old man presented with papilledema due to partially recanalized dural sinus thrombosis and was treated with anticoagulation and acetazolamide. One year after treatment and resolution of his symptoms, he had an increase in his optic disc edema accompanied by headaches. Subsequent neuroimaging indicated development of arteriovenous fistulas resulting in cortical and deep venous reflux. Given the high risk of mortality from intracranial hemorrhage, the patient underwent urgent treatment with a liquid embolic agent, which resulted in the resolution of his optic disc edema. Our case is unique in that recurrence of bilateral optic disc edema led to discovery of the rare complication of dural arteriovenous fistulas developing after dural sinus thrombosis. Ongoing monitoring of patients after cerebral venous sinus thrombosis is, therefore, important.
Subject Adenoma; Craniotomy; Female; Hemianopsia; Humans; Infrared Rays; Microscopy, Confocal; Middle Older people; Nerve Fibers; Optic Tract; Photography; Pituitary Neoplasms; Retinal Degeneration; Retinal Ganglion Cells; Scotoma; Tomography, Optical Coherence; Visual Acuity; Visual Fields
OCR Text Show
Date 2016-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6tj2g4t
Setname ehsl_novel_jno
ID 1276454
Reference URL https://collections.lib.utah.edu/ark:/87278/s6tj2g4t
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