Visual Loss After Systemic Hypotension

Update Item Information
Identifier walsh_1987_s2_c5
Title Visual Loss After Systemic Hypotension
Creator Jonathan Daniel Trobe, MD, Michigan University
Subject Gastritis; Sepsis; Infarction; Optic Nerve Injuries; Blindness; Hypotension
History A 59-year old female with total blindness after emergency surgery for GI bleeding. Previous history significant for hypertension and chronic idiopathic anemia.
Pathology Bilateral hemorrhagic infarction of optic nerves.
Disease/Diagnosis Hypotensive infarcts of the optic nerves secondary to GI sepsis
Clinical VA: NLP OU
Presenting Symptom Binocular amaurosis
Neuroimaging CT
References 1. Hollenhorst RW, Wagener HP: Loss of vision after distant hemorrhage. Am J Med Sci 1950;219:209-218. 2. Klewin KM, Appen RE, and Kaufman PL: Amaurosis and blood loss. Am J Ophthalmol 1978;86:669-672. 3. Rootman J and Butler D: Ischaemic optic neuropathy--a combined mechanism. Br J Ophthalmol 1980;64:826-831. 4. Pears MA, Pickering GW: Changes in the fundus oculi after haemorrhage. Quart J Med 1960; 29:153-178. 5. Adams JH, Brierley JB, Connor RCR and Treip CS: The effects of systemic hypotension upon the human brain. Clinical and neuro-pathological observations in 11 cases. Brain 1966;89:235-268. 6. Brierley JB, Excell BJ: The effects of profound systemic hypotension upon the brain of m. rhesus. Physiological and pathological observations. Brain 1966;89;269-298.
Language eng
Format application/pdf
Type Text
Source 1987 Walsh Proceedings
Relation is Part of Case presented at the NANOS 1987 Walsh Session, February 20-21 Contributor Primary
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s67947hx
Contributor Primary Trobe, Jonathan D.
Contributor Secondary Johnson, Mark W.; Kincaid, Marilyn C.
Setname ehsl_novel_fbw
ID 178769
Reference URL https://collections.lib.utah.edu/ark:/87278/s67947hx