AI Article Synopsis
- Retinal migraine is diagnosed by ruling out other conditions, and it involves temporary loss of vision in one eye associated with typical migraine symptoms.
- A case study describes a 46-year-old woman with systemic lupus erythematosus who experienced episodes of transient monocular blindness, initially thought to be retinal migraines, which were linked to her underlying lupus condition.
- After treatment with intravenous medications, episodes of transient monocular blindness ceased, highlighting the need to differentiate between retinal migraines and other serious conditions like systemic lupus erythematosus.
Article Abstract
Background: Retinal migraine is a diagnosis of exclusion and is characterized by repeated episodes of transient monocular blindness associated with migraine. We report a case of systemic lupus erythematosus with acute episodes mimicking retinal migraines.
Case Report: A 46-year-old woman with a history of migraine with aura since her 20s and Evans syndrome presented with episodic transient monocular blindness. Retinal migraine was considered as the cause, and migraine prophylaxis initially reduced its frequency. After 5 months, the frequency increased, with chilblain-like lupus lesions on her extremities. Laboratory testing revealed lymphopenia and hypocomplementemia, fulfilling the diagnostic criteria for systemic lupus erythematosus, which may have caused Evans syndrome and transient monocular blindness, mimicking retinal migraines. After intravenous methylprednisolone and rituximab therapy, the transient monocular blindness episodes did not recur.
Conclusion: Given the clinical presentation, systemic lupus erythematosus should be considered as a cause of transient monocular blindness and should be distinguished from retinal migraine.
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| http://dx.doi.org/10.1177/03331024231219477 | DOI Listing |
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