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Thrombolyic and Vasodilator Treatment in a Patient With Prolonged Retinal Ischemia.
Neurologist
May 2017
*Illinois Neurological Institute †NorthShore University HealthSystem, Evanston ‡OSF St. Francis Medical Center §Department of Neurology, University of Illinois College of Medicine at Peoria, Peoria, IL.
Vasospastic transient monocular vision loss associated with systemic lupus erythematosus and antiphospholipid syndrome is typically short lasting and responsive to vasodilators. Virchow's triad of endothelial dysfunction, arterial stasis, and a hypercoagulable state are factors in systemic lupus erythematosus/antiphospholipid syndrome that may potentially contribute to prolonged retinal hypoperfusion and central retinal artery occlusion. Consequently, rapid intervention to address all components of Virchow's triad may increase the probability of a good outcome.
View Article and Find Full Text PDFVasospastic Amaurosis Fugax Diagnosed by Cerebral Angiography.
J Stroke Cerebrovasc Dis
November 2015
Busan-Ulsan Regional Cerebrovascular Center, Dong-A University Hospital, Busan, South Korea. Electronic address:
Unlabelled: We report a case of recurrent monocular blindness presumed to be caused by vasospasm, demonstrated by digital subtraction angiography.
Case Report: A 65-year-old man presented with recurrent visual loss in the left eye for 2 years. He had histories of hypertension, cigarette smoking, and May-Thurner syndrome.
Vasospastic transient monocular visual loss: effect of treatment with different doses of nifedipine.
J Neuroophthalmol
December 2014
Department of Ophthalmology, Oulu University Hospital, Oulu, Finland.
Transient monocular visual loss (TMVL) usually is due to hypoperfusion of the optic nerve or retinal circulation. After the exclusion of thromboembolic and carotid artery diseases, retinal vasospasm should be considered as an underlying cause of TMVL. We report a patient with an increasing number of transient attacks of unilateral blindness.
View Article and Find Full Text PDF[Idiopathic vasospastic angiopathy of the internal carotid arteries: A rarely recognized cause of ischemic stroke in young individuals].
Rev Neurol (Paris)
January 2012
Service de neurologie, CHU Besançon, hôpital Jean-Minjoz, 25000 Besançon, France.
Introduction: Idiopathic vasospastic angiopathy of the internal carotid arteries is a rare and largely unknown cause of ischemic stroke.
Methods: We report the case of a 39-year-old man with migraine treated by beta-blockers, who had been suffering from progressive right visual impairment and headache for one week. He then experienced a seizure and left hemiparesis.
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