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Place and Response Learning in the Open-field Tower Maze
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A school of red herring.

Peter W MacIntosh1, Sachin Jain1, Heather E Moss1

  • 1Department of Ophthalmology and Visual Sciences, University of Illinois College of Medicine, Chicago, Illinois, USA.

Survey of Ophthalmology
|June 11, 2014
PubMed
Summary
This summary is machine-generated.

Papilledema caused by venous sinus stenosis and dural arteriovenous fistula can lead to vision loss. Successful treatment involved venous sinus stenting and fistula embolization, resolving papilledema and improving vision.

Keywords:
arteriovenous fistulaintracranial hypertensionpapilledemastentingtransverse sinus stenosis

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Area of Science:

  • Ophthalmology
  • Neurology
  • Nephrology

Background:

  • Chronic kidney disease (CKD) can present with complex neurological and ophthalmological manifestations.
  • Papilledema, often indicative of increased intracranial pressure, requires thorough etiological investigation.

Observation:

  • A 66-year-old male with CKD experienced progressive, painless unilateral vision loss and bilateral optic disc swelling.
  • Initial evaluations for common causes of vision loss were inconclusive, and corticosteroids provided only temporary stabilization.

Findings:

  • The patient was diagnosed with papilledema secondary to transverse venous sinus stenosis and a dural arteriovenous fistula.
  • Interventional procedures, including venous sinus stenting and fistula embolization, were performed.

Implications:

  • This case highlights a rare but treatable cause of papilledema and vision loss in patients with CKD.
  • Successful management through endovascular intervention underscores the importance of considering vascular etiologies in unexplained papilledema.