ABSTRACT
Mujer de 42 años, sin antecedentes de interés que acude con cefalea severa, náuseas, vómitos, pérdida de la audición y alteraciones mentales con desorientación y confusión. El examen oftalmológico reveló la presencia de hiperemia del disco óptico derecho y de áreas focales de oclusión arteriolar en ambos ojos. La audiometría puso de manifiesto una hipoacusia bilateral neurosensorial. En la resonancia magnética cerebral se detectaron múltiples lesiones de pequeño tamaño hiperintensas localizadas en el esplenio, cuerpo calloso, ganglios basales y sustancia blanca
The case is presented of 42 year-old woman with no significant medical history, with severe headaches, nausea and vomiting, hearing loss, and alteration of mental status with disorientation and confusion. Ophthalmic examination showed optic disc hyperaemia in right eye, and focal areas of arteriolar occlusion in both eyes. Audiometry demonstrated bilateral neurosensory hypoacusis. Magnetic Resonance Imaging showed multiple small round hyperintense lesions located in the splenium, corpus callosum, basal ganglia, and white matter
Subject(s)
Humans , Female , Adult , Susac Syndrome/complications , Retinal Vasculitis/diagnostic imaging , Retinal Vasculitis/drug therapy , Optic Disk , Susac Syndrome/diagnostic imaging , Optic Disk/diagnostic imaging , Hyperemia/complications , Hyperemia/etiology , Headache/etiology , Cerebral Angiography/methods , Tomography, Optical Coherence/methodsABSTRACT
CASE REPORT: The case is presented of 42 year-old woman with no significant medical history, with severe headaches, nausea and vomiting, hearing loss, and alteration of mental status with disorientation and confusion. Ophthalmic examination showed optic disc hyperaemia in right eye, and focal areas of arteriolar occlusion in both eyes. Audiometry demonstrated bilateral neurosensory hypoacusis. Magnetic Resonance Imaging showed multiple small round hyperintense lesions located in the splenium, corpus callosum, basal ganglia, and white matter. DISCUSSION: Besides branch retinal arteriolar occlusion, the angiopathy in Susac's syndrome may affect the optic disc vessels.
Subject(s)
Optic Disk/blood supply , Retinal Artery Occlusion/etiology , Retinal Vessels , Susac Syndrome/complications , Vasculitis/etiology , Adult , Female , HumansABSTRACT
CASO CLINICO: Presentamos el caso clínico de una mujer de 69 años, con una vasculitis retiniana unilateral. El estudio del caso mostró la presencia de asma, sinusitis con pólipos nasales, eosinofilia en sangre periférica, aumento de la velocidad de sedimentación, proteinuria y anticuerpos antifosfolipídicos. Los anticuerpos antineutrófilos citoplasmáticos fueron negativos. DISCUSIÓN: A pesar de la ausencia de anticuerpos antineutrófilos citoplasmáticos, se consideró el diagnóstico de un síndrome de Churg-Strauss, dadas las otras manifestaciones clínicas y de laboratorio, iniciándose un tratamiento con altas dosis de corticoides y anticoagulantes
CASE REPORT: We present the case of a 69-year-old woman with unilateral retinal vasculitis. Investigations showed asthma, rhinosinusitis, nasal polyposis, peripheral blood eosinophilia, increased sedimentation rate, proteinuria, and antiphospholipid antibodies. Anti-neutrophil cytoplasmic antibodies (ANCA) were negative. DISCUSSION: Although her anti-neutrophil cytoplasmatic antibody (ANCA) status was negative, taking into account the other clinical and laboratory features, retinal vasculitis was thought to be an ocular manifestation of Churg-Strauss syndrome. Treatment was started with high-dose corticosteroids and anticoagulant therapy
Subject(s)
Humans , Female , Aged , Churg-Strauss Syndrome/complications , Retinal Vasculitis/complications , Antibodies, Antiphospholipid/analysis , Retinal Vein Occlusion/complications , Antibodies, Antineutrophil Cytoplasmic/analysis , Adrenal Cortex Hormones/therapeutic use , Anticoagulants/analysis , Vision Disorders/etiology , Fluorescein AngiographyABSTRACT
CASE REPORT: We present the case of a 69-year-old woman with unilateral retinal vasculitis. Investigations showed asthma, rhinosinusitis, nasal polyposis, peripheral blood eosinophilia, increased sedimentation rate, proteinuria, and antiphospholipid antibodies. Anti-neutrophil cytoplasmic antibodies (ANCA) were negative. DISCUSSION: Although her anti-neutrophil cytoplasmatic antibody (ANCA) status was negative, taking into account the other clinical and laboratory features, retinal vasculitis was thought to be an ocular manifestation of Churg-Strauss syndrome. Treatment was started with high-dose corticosteroids and anticoagulant therapy.
