Typical migraine or ophthalmologic emergency?
| Autor: | Tina Rosenbaum, Michael Ybarra |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Topiramate
Intraocular pressure Pediatrics medicine.medical_specialty genetic structures Side effect Migraine Disorders Timolol Glaucoma Fructose medicine Humans Intraocular Pressure business.industry General Medicine Emergency department Middle Aged medicine.disease eye diseases Neuroprotective Agents Migraine Emergency Medicine Prednisolone Female sense organs Emergency Service Hospital Glaucoma Angle-Closure business medicine.drug |
| Zdroj: | The American Journal of Emergency Medicine. 30:831.e3-831.e5 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/j.ajem.2011.02.022 |
| Popis: | We describe the case of a 47-year-old woman who came to the emergency department (ED) complaining of worse than typical migraine headache and blurry vision after recently doubling the dose of topiramate earlier that day. After complete neurologic and ophthalmologic evaluation, she was found to have elevated intraocular pressures and was diagnosed with topiramate-induced bilateral acute angleclosure glaucoma, which is a rare side effect of this commonly prescribed medication. She was treated with timolol, brimonide, and prednisolone drops to reduce intraocular pressure as well as cessation of topiramate and was discharged home. This report briefly discusses the clinical history, appropriate evaluation, differential diagnosis, and approach to secondary acute angle-closure glaucoma in the ED. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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