Blindness caused by an ischemic optic neuropathy by spontaneous carotid dissection. Report of a case

In young and middle age subjects, spontaneous carotid dissection is an increasingly recognized cause of ischemic stroke. Their usual presentation is facial pain with a Horner syndrome and a contra lateral paresis. Blindness has been reported as a presenting symptom in only a few cases. We report a 5...

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Bibliographic Details
Published inRevista medíca de Chile Vol. 131; no. 9; p. 1042
Main Authors Miranda, Marcelo, Venegas, Pablo, Kagi, Marianne
Format Journal Article
LanguageSpanish
Published Chile 01.09.2003
Subjects
Blindness - etiology
Carotid Artery, Internal, Dissection - complications
Humans
Male
Middle Aged
Optic Neuropathy, Ischemic - complications
Optic Neuropathy, Ischemic - etiology
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Summary:In young and middle age subjects, spontaneous carotid dissection is an increasingly recognized cause of ischemic stroke. Their usual presentation is facial pain with a Horner syndrome and a contra lateral paresis. Blindness has been reported as a presenting symptom in only a few cases. We report a 50 years old man who presented with amblyopia in the left eye, without periocular pain. Fundoscopy showed papilledema and a peripapillar hemorrhage, compatible with an ischemic optic neuropathy. A magnetic resonance angiography confirmed a left carotid dissection.
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ISSN:0034-9887