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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2017, Number 4

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An Med Asoc Med Hosp ABC 2017; 62 (4)

Central retinal artery occlusion in a patient with multiple sclerosis

Kiel RJE, Villalba OP, Domínguez ZB
Full text How to cite this article

Language: Spanish
References: 7
Page: 275-278
PDF size: 246.40 Kb.


Key words:

Central retinal artery occlusion, multiple sclerosis, optic neuritis, demyelinating.

ABSTRACT

Central retinal artery occlusion is an entity that frequently causes sudden and painless visual loss. This pathology has different etiologies, but the most common of all is the presence of a plunger that usually comes from the carotids, which is the reason why this pathology has been described as an analog of an acute myocardial infarction, in the eye. We present the case of a patient who came to ophthalmologic examination due to a sudden visual loss, but in his medical history, he reported having multiple sclerosis as underlying disease. We should consider a demyelinating optic neuritis as a differential diagnosis because it also causes a decrease in visual acuity. The objective of this case report is to inform about the diagnostic possibilities in patients with multiple sclerosis with sudden visual loss and to mention that the mechanism of the underlying pathology may be related to hemodynamic impairments.


REFERENCES

  1. Von Graefes A. Ueber embolie der arteria centralis retinae als ursache plotzlichererblindung. Arch Ophthalmol. 1859; 5: 136-157.

  2. Cuevas C, Velázquez QM, Núñez L, Skromne E, Árcega R, Barroso N et al. Consenso Mexicano para la Esclerosis Múltiple. Guía diagnóstica y terapéutica. Rev Mex Neuroci. 2007; 8 (2): 155-162. Disponible en: http://www.medigraphic.com/pdfs/revmexneu/rmn-2007/rmn072j.pdf

  3. Varma DD, Cugati S, Lee AW, Chen CS. A review of central retinal artery occlusion: clinical presentation and management. Eye (Lond). 2013; 27 (6): 688-697.

  4. Qureshi SS, Beh SC, Frohman TC, Frohman EM. An update on neuro-ophthalmology of multiple sclerosis: the visual system as a model to study multiple sclerosis. Curr Opin Neurol. 2014; 27 (3): 300-308.

  5. Balcer LJ, Miller DH, Reingold SC, Cohen JA. Vision and vision-related outcome measures in multiple sclerosis. Brain. 2015; 138 (Pt 1): 11-27.

  6. Roed H, Frederiksen J, Langkilde A, Sørensen TL, Lauritzen M, Sellebjerg F. Systemic T-cell activation in acute clinically isolated optic neuritis. J Neuroimmunol. 2005; 162 (1-2): 165-172.

  7. Akarsu C, Tan FU, Kendi T. Color Doppler imaging in optic neuritis with multiple sclerosis. Graefes Arch Clin Exp Ophthalmol. 2004; 242 (12): 990-994.




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C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 2017;62