RESUMO
The authors report a case of Vogt-Koyonagi-Harada syndrome associated with intracranial meningioma. The authors discuss the HLA-DR4 gene as a common and causative factor in both conditions. This case report draws attention to the possibility of a causative association between intracranial meningioma and Vogt-Koyonagi-Harada syndrome, a rare but potentially blinding condition if not detected and treated early.
Assuntos
Meningioma/complicações , Síndrome Uveomeningoencefálica/diagnóstico , Diagnóstico Diferencial , Feminino , Glucocorticoides/uso terapêutico , Humanos , Meningioma/cirurgia , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Síndrome Uveomeningoencefálica/tratamento farmacológico , Acuidade VisualRESUMO
We present a case of a young Afro-Caribbean man who presented with sudden unilateral loss of vision due to central retinal artery occlusion. He was a cocaine and cannabis abuser for 6 years. Acute central retinal artery occlusion at such a young age is unusual. We discuss the possible pathogenesis and treatment options for acute retinal artery occlusion, due to suspected cocaine and cannabis abuse, and present our experience of its management.