Clinical Reasoning: A 62-Year-Old Woman With Transient Vision Loss.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 37290976.
- Also identified by DOI 10.1212/WNL.0000000000207447 and PMC identifier 10491450.
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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.
Medical subject headings
- Vision Disorders
- Paresthesia