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Published on: September 18, 2012
Clinical Reasoning: A 62-Year-Old Woman With Transient Vision Loss
Leticia Maria Tedesco Silva1, Jenny Carolina Reategui2, Leticia Tornes2
1From the Department of Neurology (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), Miller School of Medicine, University of Miami; Neurology Services (L.M.T.S., J.C.R., L.T., E.M., K.D., A.A., J.M., M.M.B.), University of Miami Hospital and Clinics and Jackson Memorial Hospital; and Department of Neurology (L.T.), Bruce W Carter VA Medical Center, Miami, FL. tedesco.leticia@miami.edu.
Abstract:
Transient visual loss (TVL) is a common complaint in the emergency department, with numerous possible etiologies. Prompt evaluation and management of TVL can potentially prevent progression to permanent visual loss. In this case, a 62-year-old woman presented with acute, painless, unilateral TVL. Two weeks before presentation, the patient reported bitemporal headaches and paresthesia of the distal extremities. A review of systems revealed chronic fatigue, cough, diffuse arthralgias, and decreased appetite for the previous 6 months. This case highlights the diagnostic approach to patients with TVL. Some common and rare causes associated with this clinical manifestation are briefly reviewed.
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