RESUMO
Vogt-Koyanagi-Harada syndrome is a rare disease that occurs commonly in pigmented individuals of Asian origin. A 25-year female presented in medical outpatient department (OPD) of Al-Khidmat Teaching Hospital, Mansoora, Lahore with headache and neck stiffness. She was referred to eye OPD for the complaint of decreased vision. On examination, there was 6/24 vision, sluggish pupillary reaction and disc hyperemia in both eyes. She was treated as a case of optic neuritis. Few days later, she developed bilateral panuveitis, shallow exudative detachments and alopecia. Clinical picture with normal magnetic resonance imaging (MRI) and laboratory tests helped us in reaching the diagnosis of Vogt-Koyanagi-Harada syndrome.
Assuntos
Imageamento por Ressonância Magnética/métodos , Neurite Óptica/diagnóstico , Pan-Uveíte/diagnóstico , Síndrome Uveomeningoencefálica/diagnóstico , Adulto , Alopecia/diagnóstico , Alopecia/etiologia , Povo Asiático , Diagnóstico Diferencial , Feminino , Humanos , Pan-Uveíte/tratamento farmacológico , Prednisolona/administração & dosagem , Descolamento Retiniano/etiologia , Resultado do Tratamento , Síndrome Uveomeningoencefálica/tratamento farmacológicoRESUMO
A 22-year male presented in outpatient department with right sided proptosis and chemosis, after a roadside accident two months back. He was on treatment for orbital cellulitis and taking steroids with antibiotics, both orally and topically. He was also on topical antiglaucoma agents. Detailed examination revealed bruit on auscultation. On magnetic resonance imaging (MRI), dilated superior ophthalmic vein led to diagnosis of caroticocavernous fistula (CCF) and the patient was referred to Neurosurgery Department of Lahore General Hospital (LGH), Lahore, where digital subtraction angiography (DSA) and balloon catheterization by a radiologist in the same sitting, resulted in successful closure of fistula and amelioration of all the signs and symptoms within six weeks.
