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A 56 YEAR OLD MAN WITH TRANSIENT VISUAL LOSS

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Presentation on theme: "A 56 YEAR OLD MAN WITH TRANSIENT VISUAL LOSS"— Presentation transcript:

1 A 56 YEAR OLD MAN WITH TRANSIENT VISUAL LOSS
Teaching NeuroImages Neurology Resident and Fellow Section © 2017 American Academy of Neurology

2 Vignette Five episodes of left eye visual loss Five-minute duration
Curtain-like, moving in nasal-to-temporal direction Followed by left periorbital pulsatile headache Ictal fundus photography showed multiple vasoconstrictions of the central retinal artery/vein and their branches Rest of neurological exam normal © 2017 American Academy of Neurology El Youssef et al

3 Imaging El Youssef et al
Ictal fundus photography showed multiple vasoconstrictions of the central retinal artery/vein and their branches (figure A), with resolution 10 minutes later (figure B) Fundus photography: ictal (A) and post-ictal (B) El Youssef et al © 2017 American Academy of Neurology

4 Retinal migraine in action
Migraine pathophysiology is controversial Vasospasm remains a possible contributor/epiphenomenon in retinal migraine References: Kowacs PA, Utiumi MA, Piovesan EJ. The visual system in migraine: from the bench side to the office. Headache Feb; 55 Suppl 1:84-98. El Youssef et al © 2017 American Academy of Neurology

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