RESUMO
BACKGROUND: Patients with migraine headaches are frequently prescribed topiramate to treat their condition. CASE REPORT: We present a case of bilateral acute angle-closure glaucoma occurring 2 days after topiramate therapy was increased for symptoms related to migraine. CONCLUSION: Acute angle-closure glaucoma secondary to topiramate is an uncommon but serious adverse reaction that may result in severe morbidity such as permanent visual loss if not recognized in a timely manner. Treatment differs from primary acute angle-closure glaucoma in that discontinuation of topiramate is necessary for the glaucoma to resolve.
Assuntos
Anticonvulsivantes/efeitos adversos , Frutose/análogos & derivados , Glaucoma de Ângulo Fechado/induzido quimicamente , Transtornos de Enxaqueca/tratamento farmacológico , Doença Aguda , Feminino , Frutose/efeitos adversos , Humanos , Pessoa de Meia-Idade , TopiramatoRESUMO
Disaster response requires rapid, complex action by multiple agencies that may rarely interact during nondisaster periods. Failures in communication and coordination between agencies have been pitfalls in the advancement of disaster preparedness. Recommendations of the Federal Emergency Management Agency address these needs and demonstrate commitment to successful disaster management, but they are challenging for communities to ensure. In this article we describe the application of Federal Emergency Management Agency guidelines to the 2008 and 2009 Chicago Marathon and discuss the details of our implementation strategy with a focus on optimizing communication. We believe that it is possible to enhance community disaster preparedness through practical application during mass sporting events.
