Vasospastic Transient Monocular Visual Loss: Effect of Treatment With Different Doses of Nifedipine
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...
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Veröffentlicht in: | Journal of neuro-ophthalmology 2014-12, Vol.34 (4), p.386-388 |
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description | 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. Vasospasm was confirmed as the etiology by fundus photography during an attack. Nifedipine 10 mg/d decreased the severity of the visual loss and the number of attacks. The patient was relieved of symptoms entirely with a nifedipine dose of 20 mg/d. |
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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. Vasospasm was confirmed as the etiology by fundus photography during an attack. Nifedipine 10 mg/d decreased the severity of the visual loss and the number of attacks. 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The patient was relieved of symptoms entirely with a nifedipine dose of 20 mg/d.</description><subject>Adult</subject><subject>Calcium Channel Blockers - therapeutic use</subject><subject>Female</subject><subject>Functional Laterality</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Neurologic Examination</subject><subject>Nifedipine - therapeutic use</subject><subject>Vasospasm, Intracranial - complications</subject><subject>Vision Disorders - drug therapy</subject><subject>Vision Disorders - etiology</subject><subject>Visual Fields - drug effects</subject><issn>1070-8022</issn><issn>1536-5166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0ctOxCAUBmBiNN7fwJgu3XQESqG4M854ScaZjZdlQ-khg3bKCG0mvr00o8a4MLIBwncOyfkROiF4RLAU58-z-Qj_XISxLbRP8oynOeF8O56xwGmBKd1DByG8RJNhKnfRHmUS51SwfaSfVHBhpUJndfLgVRsstF1y71qn-0b55MmGXjXJ1IVwkUyMAd0lzkQKqlsO9Nl2i2Rs44sfrmMXIAxiZg3UdmVbOEI7RjUBjj_3Q_R4PXm4uk2n85u7q8tpqjNBWCo0UAVa13lFK6xqqDgHYkiFJeVUGpBMQs6LXHMKUopIq5pklebSsLpW2SE62_RdeffWQ-jKpQ0amka14PpQEl5gxjJOxT8oFVjkeUEiZRuqfZyBB1OuvF0q_14SXA5JlDGJ8ncSsez084e-WkL9XfQ1-giKDVi7pgMfXpt-Db5cgGq6xd-9PwBN1pXz</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Pitkänen, Hanna</creator><creator>Saarela, Ville</creator><general>by North American Neuro-Ophthalmology Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201412</creationdate><title>Vasospastic Transient Monocular Visual Loss: Effect of Treatment With Different Doses of Nifedipine</title><author>Pitkänen, Hanna ; Saarela, Ville</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3714-7ce2aeccd5b2b0adeb66e1f1b092629fe949e5685c62e997eccbd13bc69f4dda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Calcium Channel Blockers - therapeutic use</topic><topic>Female</topic><topic>Functional Laterality</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Neurologic Examination</topic><topic>Nifedipine - therapeutic use</topic><topic>Vasospasm, Intracranial - complications</topic><topic>Vision Disorders - drug therapy</topic><topic>Vision Disorders - etiology</topic><topic>Visual Fields - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pitkänen, Hanna</creatorcontrib><creatorcontrib>Saarela, Ville</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of neuro-ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pitkänen, Hanna</au><au>Saarela, Ville</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vasospastic Transient Monocular Visual Loss: Effect of Treatment With Different Doses of Nifedipine</atitle><jtitle>Journal of neuro-ophthalmology</jtitle><addtitle>J Neuroophthalmol</addtitle><date>2014-12</date><risdate>2014</risdate><volume>34</volume><issue>4</issue><spage>386</spage><epage>388</epage><pages>386-388</pages><issn>1070-8022</issn><eissn>1536-5166</eissn><abstract>Transient monocular visual loss (TMVL) usually is due to hypoperfusion of the optic nerve or retinal circulation. 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source | MEDLINE; Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals |
subjects | Adult Calcium Channel Blockers - therapeutic use Female Functional Laterality Humans Magnetic Resonance Imaging Neurologic Examination Nifedipine - therapeutic use Vasospasm, Intracranial - complications Vision Disorders - drug therapy Vision Disorders - etiology Visual Fields - drug effects |
title | Vasospastic Transient Monocular Visual Loss: Effect of Treatment With Different Doses of Nifedipine |
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