Orbital Phlebography for Differentiation between Multiple Sclerosis and Venous Vasculitis in Subacute Blindness
Autor: | Jan Hannerz, Kaj Ericson, Gustaf Bergstrand |
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Rok vydání: | 1988 |
Předmět: |
Adult
Male Vasculitis medicine.medical_specialty Multiple Sclerosis genetic structures Visual impairment Fundus (eye) Blindness Diagnosis Differential Cerebrospinal fluid medicine Humans Radiology Nuclear Medicine and imaging In patient PERIORBITAL PAIN Aged Radiological and Ultrasound Technology business.industry Multiple sclerosis Phlebography General Medicine Middle Aged medicine.disease eye diseases Surgery Female medicine.symptom business Orbit |
Zdroj: | Acta Radiologica. 29:505-507 |
ISSN: | 1600-0455 0284-1851 |
DOI: | 10.1177/028418518802900502 |
Popis: | Thirteen consecutive patients with subacute unilateral loss of vision and periorbital pain but without pathology of the fundus or increased erythrocyte sedimentation rate, were investigated with visual evoked response, electrophoresis of serum and cerebrospinal fluid, and orbital phlebography. Seven of these patients were found to suffer from multiple sclerosis. The remaining 6 were considered to have venous vasculitis. There was a spontaneous recovery from visual impairment in all patients with multiple sclerosis, but not in patients with venous vasculitis. Of the latter patients, only two, who were treated with steroids within the first four days after onset of symptoms, regained vision. It appears that orbital phlebography is the diagnostic procedure of choice for proper management of patients with subacute loss of vision. |
Databáze: | OpenAIRE |
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