A school of red herring

Abstract A 66-year-old man with chronic kidney disease presented with painless unilateral vision loss and bilateral optic disk swelling. Vision loss progressed in the affected eye and developed in the fellow eye. Evaluation for infectious, neoplastic, ischemic, and inflammatory disorders was unrevea...

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Veröffentlicht in:	Survey of ophthalmology 2014-11, Vol.59 (6), p.664-670
Hauptverfasser:	MacIntosh, Peter W., MD, Jain, Sachin, MD, Moss, Heather E., MD, PhD, Volpe, Nicholas J., MD, Alaraj, Ali, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty, Balloon arteriovenous fistula Central Nervous System Vascular Malformations - diagnosis Central Nervous System Vascular Malformations - therapy Humans intracranial hypertension Intracranial Hypertension - diagnosis Intracranial Hypertension - therapy Magnetic Resonance Angiography Male Ophthalmology papilledema Papilledema - diagnosis Papilledema - therapy Phlebography Sinus Thrombosis, Intracranial - diagnosis Sinus Thrombosis, Intracranial - therapy stenting Stents transverse sinus stenosis Transverse Sinuses - pathology
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Zusammenfassung:	Abstract A 66-year-old man with chronic kidney disease presented with painless unilateral vision loss and bilateral optic disk swelling. Vision loss progressed in the affected eye and developed in the fellow eye. Evaluation for infectious, neoplastic, ischemic, and inflammatory disorders was unrevealing. High-dose corticosteroids appeared to stabilize his vision temporarily. Eventually he was diagnosed with papilledema in the setting of transverse venous sinus stenosis and dural arteriovenous fistula. His papilledema resolved, and his vision improved following stenting of the venous sinus stenosis and embolization of the fistula.
ISSN:	0039-6257 1879-3304
DOI:	10.1016/j.survophthal.2014.01.010