| Title | Postural vision loss in giant cell arteritis. | | Author(s) | Diego M, Margo CE | | Institution | Department of Ophthalmology, University of South Florida College of Medicine, Tampa, USA. | | Source | J Neuroophthalmol 1998 Jun; 18(2):124-6. | | MeSH | Aged
Female
Humans
Hypotension, Orthostatic
Male
Methylprednisolone
Optic Neuropathy, Ischemic
Papilledema
Prednisone
Temporal Arteritis
Vertebrobasilar Insufficiency
Vision Disorders
Visual Acuity
| | Abstract | Two patients with biopsy-proven giant cell arteritis experienced bilateral transient vision loss after bending over and after getting up from a supine position. One patient had no demonstrable signs of carotid, ophthalmic, or anterior ciliary vascular disease, suggesting that his episodes of transient vision loss were due to vertebrobasilar insufficiency. The other patient experienced bilateral postural vision loss in the context of impending bilateral anterior ischemic optic neuropathy. Bilateral transient postural vision loss is an uncommon manifestation of giant cell arteritis that could reflect either severe bilateral vascular compromise of the anterior circulation or severe vertebrobasilar insufficiency. In either situation, prompt evaluation and treatment is indicated to prevent the irreversible sequelae of the disease. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 9621270 |
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