Clinical Reasoning: A 32-Year-Old Woman With Progressive Vision Loss and Confusion.

Kumar, Arjun B; Khan, Usama K; Argus, Brian; Hajrasouliha, Amir; Pascuzzi, Robert M; Hutchins, Katherine · Neurology · 2026

case_report · Level V

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Abstract

We report the case of a 32-year-old woman with vision loss and confusion, which worsened significantly over several months. This case highlights the importance of keeping a broad differential, exploring rare etiologies, and maintaining vigilance over re-emerging disease processes. It also reviews current diagnostic guidelines and treatment options for this uncommon cause of vision loss and confusion.

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