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
Hauptverfasser: Pitkänen, Hanna, Saarela, Ville
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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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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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