Ceguera secundaria a neuropatía óptica isquémica por una disección carotídea espontánea: Caso clínico

• Marcelo Miranda C ^[1] ; Pablo Venegas F ^[1] ; Marianne Kagi G ^[1]
  1. [1] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 131, Nº. 9, 2003, págs. 1042-1044
• Idioma: español
• Títulos paralelos:
  • Acute ischemic optic neuropathy causing permanent blindness as a presentation of a carotid dissection: Report of one case
• Enlaces
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• Resumen

  • 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