Clinical Reasoning: A 62-Year-Old Woman With Transient Vision Loss.

Female Humans Middle Aged Vision Disorders / diagnosis Paresthesia Clinical Reasoning

Journal

Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060

Informations de publication

Date de publication:
05 09 2023
Historique:
received: 10 11 2022
accepted: 10 04 2023
pmc-release: 05 09 2024
medline: 6 9 2023
pubmed: 9 6 2023
entrez: 8 6 2023
Statut: ppublish

Résumé

Transient visual loss (TVL) is a common complaint in the emergency department, with numerous possible etiologies. Prompt evaluation and management of TVL can potentially prevent progression to permanent visual loss. In this case, a 62-year-old woman presented with acute, painless, unilateral TVL. Two weeks before presentation, the patient reported bitemporal headaches and paresthesia of the distal extremities. A review of systems revealed chronic fatigue, cough, diffuse arthralgias, and decreased appetite for the previous 6 months. This case highlights the diagnostic approach to patients with TVL. Some common and rare causes associated with this clinical manifestation are briefly reviewed.

Identifiants

DOI: 10.1212/WNL.0000000000207447 PMID: 37290976 PMC: PMC10491450
pubmed: 37290976
pii: WNL.0000000000207447
doi: 10.1212/WNL.0000000000207447
pmc: PMC10491450
doi:

Types de publication

Case Reports Review Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1097-e1103

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR002736
Pays : United States
Organisme : NINDS NIH HHS
ID : K23 NS126577
Pays : United States
Organisme : NINDS NIH HHS
ID : R21 NS128326
Pays : United States

Informations de copyright

© 2023 American Academy of Neurology.

Références

Front Neurol. 2021 Jan 29;11:627077
pubmed: 33584521
Neurology. 2013 Sep 24;81(13):1159-65
pubmed: 23966248
Ophthalmic Plast Reconstr Surg. 2019 Jan/Feb;35(1):7-16
pubmed: 30134390
Continuum (Minneap Minn). 2014 Aug;20(4 Neuro-ophthalmology):877-906
pubmed: 25099099
Arthritis Rheum. 1988 Jun;31(6):745-9
pubmed: 3382448
Ann Rheum Dis. 2022 Mar;81(3):309-314
pubmed: 35110334
Front Neurol. 2022 Jun 17;13:885218
pubmed: 35785363
Rheumatology (Oxford). 2018 Feb 1;57(suppl_2):ii63-ii72
pubmed: 29986083
Eur Ann Allergy Clin Immunol. 2014 Nov;46(6):201-9
pubmed: 25398163
Autoimmun Rev. 2017 Sep;16(9):963-969
pubmed: 28709761
J Neurol. 2016 Sep;263(9):1771-7
pubmed: 27314958

Auteurs

Leticia Maria Tedesco Silva (LM)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL. tedesco.leticia@miami.edu.
ORCID: 0000-0001-7836-7417

Jenny Carolina Reategui (JC)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.

Leticia Tornes (L)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.

Erika Marulanda (E)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.
ORCID: 0000-0002-3885-1770

Kamil Detyniecki (K)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.
ORCID: 0000-0002-8334-1403

Ayham Alkhachroum (A)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.
ORCID: 0000-0003-0352-5913

Jason Margolesky (J)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.

Manuel Melo Bicchi (MM)

From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Clinical Reasoning: A 62-Year-Old Woman With...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Clinical Reasoning: A 62-Year-Old Woman With...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Troubles sensitifs › Troubles de la vision › Clinical Reasoning: A 62-Year-Old Woman With...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Troubles sensitifs › Troubles somatosensoriels › Paresthésie › Clinical Reasoning: A 62-Year-Old Woman With...
questionsmedicales.fr › Diagnostic › Prise de décision clinique › Raisonnement clinique › Clinical Reasoning: A 62-Year-Old Woman With...