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Traumatic Optic Neuropathy: The Forgotten Concussion.

Julio A Chalela1

  • 1Professor, Department of Neurosurgery, Medical University of South Carolina, Battalion Surgeon, 1-151 ARB Battalion, South Carolina Army National Guard, Charleston, SC 29425, USA.

Military Medicine
|March 18, 2022
PubMed
Summary
This summary is machine-generated.

Traumatic optic neuropathy (TON) often goes undiagnosed after cerebral concussions because symptoms are mistaken for brain injury. Early diagnosis and management of TON are crucial for soldiers and civilians experiencing head trauma.

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Trauma Surgery

Background:

  • Cerebral concussions are common in military and civilian settings.
  • Physicians often struggle to diagnose and manage traumatic optic neuropathy (TON) comorbid with concussions.
  • TON symptoms are frequently misattributed to the primary brain injury or obscured by altered consciousness.

Approach:

  • This paper presents a case study of a soldier with a concussion and an undiagnosed TON.
  • The study reviews the current literature on the epidemiology of TON.
  • The pathophysiology, diagnosis, and management of TON are discussed.

Key Points:

  • Traumatic optic neuropathy (TON) is a potential complication of cerebral concussions.
  • Delayed diagnosis of TON can lead to permanent vision loss.
  • A high index of suspicion is required for diagnosing TON in patients with head trauma.

Conclusions:

  • Effective management of traumatic optic neuropathy (TON) requires prompt recognition and intervention.
  • Multidisciplinary collaboration between neurologists, ophthalmologists, and trauma surgeons is essential for optimal patient outcomes.
  • Further research is needed to improve diagnostic tools and treatment strategies for TON.