Document Detail


Ocular manifestations uncover chronic subdural hematoma secondary to abuse.
MedLine Citation:
PMID:  20152779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: An abduction deficit or cranial nerve VI palsy can have many potential etiologies. However, a cranial nerve VI palsy in the setting of disc edema suggests increased intracranial pressure, requiring emergent work-up. CASE REPORT: An 18-year-old woman presented with significant headaches and horizontal diplopia, which she claimed began after giving birth 3 months prior. Her examination found a right cranial nerve VI palsy and mild disc edema of the left eye. This combination of findings was suggestive of increased intracranial pressure. Emergent workup uncovered a large chronic subdural hematoma requiring immediate neurosurgical intervention. She ultimately admitted to being abused by her partner. CONCLUSION: Diplopia and disc edema in a young, nonoverweight patient with an altered mental state is very concerning. Meningitis and complications of spinal anesthesia, although rare, need to be considered in patients who have recently given birth. However, other causes of increased intracranial pressure, including subdural hemorrhage secondary to trauma, also have to be considered, even if the patient denies any history of trauma. Abused patients often deny trauma.
Authors:
Kelly A Malloy; Degaulle I Chigbu
Related Documents :
8870799 - Lactic acid and amino acid fluctuations measured using microdialysis reflect physiologi...
2919359 - Quantification of abnormal intracranial pressure waves and isotope cisternography for d...
15531739 - Identification of pressure passive cerebral perfusion and its mediators after infant ca...
1605079 - Haemodynamic, intracranial pressure and electrocardiographic changes following subarach...
7490639 - Near-infrared spectroscopy use in patients with head injury.
1729939 - Effects of alfentanil on intracranial pressure in children undergoing ventriculoperiton...
1416389 - Tachykinins increase respiratory clearance of 99mtc-dtpa. mechanisms of action.
12482009 - Evaluation of a pharmaceutical care program for hypertensive patients in rural portugal.
9061139 - Microcirculatory compensation to progressive atherosclerotic disease.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Optometry (St. Louis, Mo.)     Volume:  81     ISSN:  1558-1527     ISO Abbreviation:  Optometry     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100912421     Medline TA:  Optometry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  61-70     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American Optometric Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Pennsylvania College of Optometry, at Salus University, Elkins Park, Pennsylvania. kmalloy@salus.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abducens Nerve
Adolescent
Cranial Nerve Diseases / etiology
Craniocerebral Trauma / complications*
Diplopia / etiology*
Female
Headache / etiology
Hematoma, Subdural, Chronic / etiology*
Humans
Ocular Motility Disorders / etiology*
Papilledema / etiology*
Spouse Abuse*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Teleoncology: current and future applications for improving cancer care globally.
Next Document:  Through our children's eyes--the public health impact of the vision screening requirements for India...