Blindness From Bad Bones
Progressive visual loss is the most common neurologic finding in osteopetrosis. Several mechanisms may explain this phenomenon, including compression of the optic nerves caused by bony overgrowth of the optic canals and retinal degeneration. We report a child with osteopetrosis and progressive visua...
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| Veröffentlicht in: | Survey of ophthalmology 1999-05, Vol.43 (6), p.487-490 |
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| container_title | Survey of ophthalmology |
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| creator | Siatkowski, R.Michael Vilar, Nancy F Sternau, Linda Coin, C.Gene |
| description | Progressive visual loss is the most common neurologic finding in osteopetrosis. Several mechanisms may explain this phenomenon, including compression of the optic nerves caused by bony overgrowth of the optic canals and retinal degeneration. We report a child with osteopetrosis and progressive visual loss, even though patent optic canals were demonstrated by computed tomography and digital holography. This patient’s visual loss was caused by increased intracranial pressure secondary to obstruction of cerebral venous outflow at the jugular foramen. This case points to the importance of a full evaluation of the skull base foramina in the diagnostic workup of visual loss in patients with osteopetrosis. |
| doi_str_mv | 10.1016/S0039-6257(99)00048-X |
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Several mechanisms may explain this phenomenon, including compression of the optic nerves caused by bony overgrowth of the optic canals and retinal degeneration. We report a child with osteopetrosis and progressive visual loss, even though patent optic canals were demonstrated by computed tomography and digital holography. This patient’s visual loss was caused by increased intracranial pressure secondary to obstruction of cerebral venous outflow at the jugular foramen. 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Joint deformations ; Medical sciences ; osteopetrosis ; Osteoporosis - complications ; Osteoporosis - diagnosis ; Tomography, X-Ray Computed ; Visual Acuity</subject><ispartof>Survey of ophthalmology, 1999-05, Vol.43 (6), p.487-490</ispartof><rights>1999 Elsevier Science Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-f6ffa28384168458229560ed8a04b2f82c9bb139328edb04501d6c8ec14226ae3</citedby><cites>FETCH-LOGICAL-c520t-f6ffa28384168458229560ed8a04b2f82c9bb139328edb04501d6c8ec14226ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0039-6257(99)00048-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1874911$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10416791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Siatkowski, R.Michael</creatorcontrib><creatorcontrib>Vilar, Nancy F</creatorcontrib><creatorcontrib>Sternau, Linda</creatorcontrib><creatorcontrib>Coin, C.Gene</creatorcontrib><title>Blindness From Bad Bones</title><title>Survey of ophthalmology</title><addtitle>Surv Ophthalmol</addtitle><description>Progressive visual loss is the most common neurologic finding in osteopetrosis. Several mechanisms may explain this phenomenon, including compression of the optic nerves caused by bony overgrowth of the optic canals and retinal degeneration. We report a child with osteopetrosis and progressive visual loss, even though patent optic canals were demonstrated by computed tomography and digital holography. This patient’s visual loss was caused by increased intracranial pressure secondary to obstruction of cerebral venous outflow at the jugular foramen. This case points to the importance of a full evaluation of the skull base foramina in the diagnostic workup of visual loss in patients with osteopetrosis.</description><subject>Biological and medical sciences</subject><subject>Blindness - diagnosis</subject><subject>Blindness - etiology</subject><subject>Brain Diseases - complications</subject><subject>Brain Diseases - diagnosis</subject><subject>Cerebral Angiography</subject><subject>Cerebral Veins - diagnostic imaging</subject><subject>Cerebral Veins - pathology</subject><subject>Child, Preschool</subject><subject>Constriction, Pathologic - complications</subject><subject>Constriction, Pathologic - diagnosis</subject><subject>digital holography</subject><subject>Disease Progression</subject><subject>Diseases of the osteoarticular system</subject><subject>Electroretinography</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intracranial Hypertension - diagnosis</subject><subject>Intracranial Hypertension - etiology</subject><subject>Intracranial Pressure</subject><subject>jugular stenosis</subject><subject>Jugular Veins - diagnostic imaging</subject><subject>Jugular Veins - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>osteopetrosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - diagnosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Visual Acuity</subject><issn>0039-6257</issn><issn>1879-3304</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0LtLAzEcwPEgiq3V3UXpIKLDad6PSWyxKhQcVOgWckkOIveoSSv433vXK-rWKQQ-vzy-AJwheIMg4revEBKVcczElVLXEEIqs8UeGCIpVEYIpPtg-EsG4Ciljw4RJQ7BAEGKuFBoCE4nZahd7VMaz2JTjSfGjSdNuz8GB4Upkz_ZriPwPnt4mz5l85fH5-n9PLMMw1VW8KIwWBLZHigpkxgrxqF30kCa40Jiq_IcEUWw9C6HlEHkuJXeIooxN56MwGV_7jI2n2ufVroKyfqyNLVv1klzpSBq_7MTIkEEE5S1kPXQxial6Au9jKEy8VsjqLt2etNOd2G0UnrTTi_aufPtBeu88u7fVB-rBRdbYJI1ZRFNbUP6c1JQhTp21zPfZvsKPupkg6-tdyF6u9KuCTte8gOv7YeH</recordid><startdate>19990501</startdate><enddate>19990501</enddate><creator>Siatkowski, R.Michael</creator><creator>Vilar, Nancy F</creator><creator>Sternau, Linda</creator><creator>Coin, C.Gene</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><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>7QP</scope><scope>7X8</scope></search><sort><creationdate>19990501</creationdate><title>Blindness From Bad Bones</title><author>Siatkowski, R.Michael ; Vilar, Nancy F ; Sternau, Linda ; Coin, C.Gene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-f6ffa28384168458229560ed8a04b2f82c9bb139328edb04501d6c8ec14226ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Blindness - diagnosis</topic><topic>Blindness - etiology</topic><topic>Brain Diseases - complications</topic><topic>Brain Diseases - diagnosis</topic><topic>Cerebral Angiography</topic><topic>Cerebral Veins - diagnostic imaging</topic><topic>Cerebral Veins - pathology</topic><topic>Child, Preschool</topic><topic>Constriction, Pathologic - complications</topic><topic>Constriction, Pathologic - diagnosis</topic><topic>digital holography</topic><topic>Disease Progression</topic><topic>Diseases of the osteoarticular system</topic><topic>Electroretinography</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intracranial Hypertension - diagnosis</topic><topic>Intracranial Hypertension - etiology</topic><topic>Intracranial Pressure</topic><topic>jugular stenosis</topic><topic>Jugular Veins - diagnostic imaging</topic><topic>Jugular Veins - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>osteopetrosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - diagnosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Siatkowski, R.Michael</creatorcontrib><creatorcontrib>Vilar, Nancy F</creatorcontrib><creatorcontrib>Sternau, Linda</creatorcontrib><creatorcontrib>Coin, C.Gene</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Survey of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siatkowski, R.Michael</au><au>Vilar, Nancy F</au><au>Sternau, Linda</au><au>Coin, C.Gene</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blindness From Bad Bones</atitle><jtitle>Survey of ophthalmology</jtitle><addtitle>Surv Ophthalmol</addtitle><date>1999-05-01</date><risdate>1999</risdate><volume>43</volume><issue>6</issue><spage>487</spage><epage>490</epage><pages>487-490</pages><issn>0039-6257</issn><eissn>1879-3304</eissn><coden>SUOPAD</coden><abstract>Progressive visual loss is the most common neurologic finding in osteopetrosis. Several mechanisms may explain this phenomenon, including compression of the optic nerves caused by bony overgrowth of the optic canals and retinal degeneration. We report a child with osteopetrosis and progressive visual loss, even though patent optic canals were demonstrated by computed tomography and digital holography. This patient’s visual loss was caused by increased intracranial pressure secondary to obstruction of cerebral venous outflow at the jugular foramen. This case points to the importance of a full evaluation of the skull base foramina in the diagnostic workup of visual loss in patients with osteopetrosis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10416791</pmid><doi>10.1016/S0039-6257(99)00048-X</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Biological and medical sciences Blindness - diagnosis Blindness - etiology Brain Diseases - complications Brain Diseases - diagnosis Cerebral Angiography Cerebral Veins - diagnostic imaging Cerebral Veins - pathology Child, Preschool Constriction, Pathologic - complications Constriction, Pathologic - diagnosis digital holography Disease Progression Diseases of the osteoarticular system Electroretinography Follow-Up Studies Humans Intracranial Hypertension - diagnosis Intracranial Hypertension - etiology Intracranial Pressure jugular stenosis Jugular Veins - diagnostic imaging Jugular Veins - pathology Magnetic Resonance Imaging Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences osteopetrosis Osteoporosis - complications Osteoporosis - diagnosis Tomography, X-Ray Computed Visual Acuity |
| title | Blindness From Bad Bones |
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