HIV infection presenting with bilateral optic neuropathy.

被引:4
作者
Laurent-Coriat, C
Tilikete, C
Bouhour, D
Boulliat, J
Fleury, J
Bernard, M
Vighetto, A
机构
[1] Hop Neurol, Unite Neuroophtalmol, Lyon, France
[2] Univ Lyon 1, F-69365 Lyon, France
[3] Ctr Hosp, Serv Malad Infect, Bourg En Bresse, France
[4] Ctr Hosp, Serv Neurol, Bourg En Bresse, France
[5] Hop Croix Rousse, Clin Ophtalmol, F-69317 Lyon, France
关键词
optic neuropathy; HIV infection; diagnosis; optic atrophy;
D O I
10.1016/S0035-3787(06)74988-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report the case of a 57-year-old man who presented bilateral subacute and painless optic neuropathy after meningopolyradiculitis revealing a primary human immunodeficiency virus infection. Both antiretroviral and steroid treatments were ineffective. Clinical symptoms and evolutive pattern were consistent with a mechanism of microvascular ischaemia of the optic nerve head. Optic neuropathies related to HIV infection are rare compared to those resulting from opportunistic infections. There are several pathophysiological mechanisms involved.
引用
收藏
页码:95 / 97
页数:3
相关论文
共 11 条
  • [1] ANTERIOR ISCHEMIC OPTIC NEUROPATHY IN THE ACQUIRED-IMMUNE-DEFICIENCY-SYNDROME
    BRACK, MJ
    CLELAND, PG
    OWEN, RI
    ALLEN, ED
    [J]. BRITISH MEDICAL JOURNAL, 1987, 295 (6600) : 696 - 697
  • [2] Steroid-responsive HIV optic neuropathy
    Burton, BJL
    Leff, AP
    Plant, GT
    [J]. JOURNAL OF NEURO-OPHTHALMOLOGY, 1998, 18 (01) : 25 - 29
  • [3] Cassoux N, 2004, NEUROOPHTALMOLOGIE, P624
  • [4] Fabricius E M, 1991, Fortschr Ophthalmol, V88, P721
  • [5] Goldsmith P, 2000, BRIT J OPHTHALMOL, V84, P551
  • [6] Pattern electroretinograms and visual evoked potentials in HIV infection: Evidence of asymptomatic retinal and postretinal impairment in the absence of infectious retinopathy
    Iragui, VJ
    Kalmijn, J
    Plummer, DJ
    Sample, PA
    Trick, GL
    Freeman, WR
    [J]. NEUROLOGY, 1996, 47 (06) : 1452 - 1456
  • [7] LIN X, 1997, CURR EYE RES, V12, P1064
  • [8] Miller NR., 2005, WALSH HOYTS CLIN NEU, V1, P237
  • [9] Neuro-ophthalmological disorders in HIV infected subjects with neurological manifestations
    Mwanza, JC
    Nyamabo, LK
    Tylleskär, T
    Plant, GT
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 2004, 88 (11) : 1455 - 1459
  • [10] NEWMAN NJ, 1992, J CLIN NEURO-OPHTHAL, V12, P1