Optic neuropathy associated with spontaneous intracranial hypotension

被引：2

作者：

Goksel, Basak Karakurum ^{[1
]}

Yildirim, Tulin ^{[2
]}

Sizmaz, Selcuk ^{[3
]}

Reyhan, Mehmet ^{[4
]}

Karatas, Mehmet ^{[1
]}

机构：

[1] Baskent Univ, Sch Med, Adana Teaching & Med Res Ctr, Dept Neurol, TR-01250 Adana, Turkey

[2] Baskent Univ, Sch Med, Adana Teaching & Med Res Ctr, Dept Radiol, TR-01250 Adana, Turkey

[3] Baskent Univ, Sch Med, Adana Teaching & Med Res Ctr, Dept Ophthalmol, TR-01250 Adana, Turkey

[4] Baskent Univ, Sch Med, Adana Teaching & Med Res Ctr, Dept Nucl Med, TR-01250 Adana, Turkey

来源：

ACTA NEUROLOGICA BELGICA | 2012年 / 112卷 / 04期

关键词：

Intracranial hypotension; Optic nerve; Optic neuropathy; MRI; ENHANCEMENT; NEURITIS; NERVE;

D O I：

10.1007/s13760-012-0087-0

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Spontaneous intracranial hypotension is characterized by postural headache that is generally associated with neck and/or back pain, radicular symptoms, nausea, and vomiting, and can sometimes be accompanied by cranial nerve symptoms. Although ocular manifestations are common, visual impairment due to optic nerve involvement is not commonly reported. Here, we report a case of a 34-year-old woman with postural headache and visual loss in the left eye associated with spontaneous intracranial hypotension. The orbital magnetic resonance imaging revealed increased intensity on T2-weighted images and on the pathologic contrast enhancement of the left optic nerve. Radionuclide cisternography showed bilateral cerebrospinal fluid leakage at the top of the thoracic region. To our knowledge, this is the first report documenting an association between optic neuropathy and spontaneous intracranial hypotension.

引用

页码：361 / 365

页数：5

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