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Visual pathway hemorrhage associated with alcohol-induced coagulopathy

D I Friedman1, S R Aravapalli, M C Shende

  • 1Department of Neurology, State University of New York Health Science Center at Syracuse 13210, USA.

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|June 1, 1996
PubMed
Summary

Diffuse optic pathway hemorrhage, rare in origin, can result from alcohol-induced coagulopathy. This condition may resolve with treatment, leading to vision improvement and subsequent structural atrophy.

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Area of Science:

  • Neuro-ophthalmology
  • Neurology
  • Vascular Neurology

Background:

  • Hemorrhage within the optic pathways (optic nerves, chiasm, tracts) is an uncommon clinical presentation.
  • Alcohol-induced coagulopathy is a potential, though rare, cause of intracranial bleeding.

Observation:

  • A case study detailing diffuse hemorrhage affecting the entire intracranial optic pathway.
  • The hemorrhage was directly linked to severe alcohol-induced coagulopathy in the patient.

Findings:

  • Complete resolution of the optic pathway hemorrhage was observed.
  • Patient's visual function significantly improved following the resolution of bleeding.
  • Neuroimaging confirmed post-hemorrhagic atrophy in the affected optic nerve structures.

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Implications:

  • Highlights a rare cause of optic pathway dysfunction and visual loss.
  • Underscores the importance of considering coagulopathy in patients with unexplained neurological deficits.
  • Demonstrates the potential for recovery of visual function despite significant hemorrhage and subsequent structural changes.