tetano
Editor, Senior Moderator
J Neuroophthalmol. 2015 Apr 14. [Epub ahead of print]
[h=1]Vision Loss Caused by Retinal and Lateral Geniculate Nucleus Infarction in H1N1 Influenza.[/h] Breker DA[SUP]1[/SUP], Stacey AW, Srinivasan A, Bursztyn LL, Trobe JD, Johnson MW.
[h=3]Author information[/h]
[h=3]Abstract[/h] A 13-year-old girl developed encephalopathy and severe bilateral vision loss to the level of light perception within 24 hours of having fever and myalgias heralding H1N1 influenza A. Ophthalmoscopy demonstrated findings of confluent ischemic retinopathy. Brain MRI disclosed lateral geniculate body signal abnormalities indicative of hemorrhagic infarction. Despite aggressive treatment with intravenous corticosteroids, intravenous immunoglobulin, and plasmapheresis, vision did not substantially improve. This case demonstrates that H1N1 can cause simultaneous retinal and lateral geniculate body infarctions, a combination of findings not previously described in any condition. We postulate an immunologic response to the virus marked by occlusive damage to arteriolar endothelium.
PMID: 25887303 [PubMed - as supplied by publisher]
[h=1]Vision Loss Caused by Retinal and Lateral Geniculate Nucleus Infarction in H1N1 Influenza.[/h] Breker DA[SUP]1[/SUP], Stacey AW, Srinivasan A, Bursztyn LL, Trobe JD, Johnson MW.
[h=3]Author information[/h]
[h=3]Abstract[/h] A 13-year-old girl developed encephalopathy and severe bilateral vision loss to the level of light perception within 24 hours of having fever and myalgias heralding H1N1 influenza A. Ophthalmoscopy demonstrated findings of confluent ischemic retinopathy. Brain MRI disclosed lateral geniculate body signal abnormalities indicative of hemorrhagic infarction. Despite aggressive treatment with intravenous corticosteroids, intravenous immunoglobulin, and plasmapheresis, vision did not substantially improve. This case demonstrates that H1N1 can cause simultaneous retinal and lateral geniculate body infarctions, a combination of findings not previously described in any condition. We postulate an immunologic response to the virus marked by occlusive damage to arteriolar endothelium.
PMID: 25887303 [PubMed - as supplied by publisher]