Teaching NeuroImages: sonographic "retrobulbar spot sign" in differentiating etiologies of sudden visual loss.
نویسندگان
چکیده
A 61-year-old vascular patient presented with headache and subacute blindness in the left eye. Remaining American College of Rheumatology criteria were negative. Sonography of the temporal artery revealed no halo sign, but due to low sensitivity, vasculitis could not be excluded. Transorbital examination revealed hyperechogenic retrobulbar spot sign (figure), which is highly specific for embolic occlusion of the central retinal artery. Comprehensive diagnostic workup revealed paroxysmal atrial fibrillation as a putative cause for the embolus and no evidence for vasculitis. Thus, potentially harmful thrombogenic administration of steroids could be avoided. Transorbital sonography may help in cases of sudden visual loss of unclear etiology.
منابع مشابه
Retrobulbar Spot Sign Predicts Thrombolytic Treatment Effects and Etiology in Central Retinal Artery Occlusion.
BACKGROUND AND PURPOSE Transorbital sonography may help establish diagnosis of central retinal artery occlusion (CRAO). Next to Doppler sonographic proof of CRAO, an intra-arterial spot sign can be detected in some cases. We hypothesized that it reflects calcified components. It may be associated with embolization from atherosclerotic plaques and may negatively influence thrombolysis. METHODS...
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Retrobulbar neuritis is often very complicated clinical entity. The most common cause of retrobulbar neuritis is demyelinating disease of CNS. This report is to express some other uncommon causes of it. Three children, age 8 to 12 with sudden and severe visual loss are presented. The diagnosis of retrobulbar neuritis is made by complete ophtalmological examination in consultation with neuropedi...
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ورودعنوان ژورنال:
- Neurology
دوره 82 17 شماره
صفحات -
تاریخ انتشار 2014