Document Detail


Transient visual loss triggered by scuba diving in a patient with a petrous epidermoid and combined thrombotic risk factors.
MedLine Citation:
PMID:  20299779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 25-year-old woman who developed transient neurological abnormalities after scuba diving is reported. The subsequent day she experienced transient left-side monocular blindness. Arterial ocular occlusion in apparently healthy young women is unusual, and a search for the cause of this devastating vascular event is mandatory. Occlusion of the left branch retinal artery, total occlusion of the left internal carotid artery, and a petrous apex epidermoid were found, together with a shortened prothrombin time (INR: 0.73), a slightly elevated serum cholesterol level (6.1 mmol/l) and combined thrombophilia (elevated FVIIIC plus type 2 sticky platelet syndrome). This case underlines the complex mechanism of thromboembolic diseases, and the importance of the acquired trigger (in the present case scuba diving) in addition to the long-term anatomical and biochemical risk factors.
Authors:
Mariann Fodor; Andrea Facskó; Ervin Berényi; István Sziklai; András Berta; György Pfliegler
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-17
Journal Detail:
Title:  Pathophysiology of haemostasis and thrombosis     Volume:  36     ISSN:  1424-8840     ISO Abbreviation:  Pathophysiol. Haemost. Thromb.     Publication Date:  2007  
Date Detail:
Created Date:  2010-05-17     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101142710     Medline TA:  Pathophysiol Haemost Thromb     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  311-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Affiliation:
Department of Ophthalmology, Medical and Health Sciences Center, Faculty of Medicine, University of Debrecen, Debrecen, Hungary. mfodor@dote.hu
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MeSH Terms
Descriptor/Qualifier:
Adult
Amaurosis Fugax / epidemiology,  etiology*,  pathology
Bone Diseases / complications*,  epidemiology,  pathology
Carotid Artery Thrombosis / epidemiology,  etiology*,  pathology
Carotid Artery, Internal
Cholesterol / blood
Diving / adverse effects*
Epidermal Cyst / complications*,  epidemiology,  pathology
Factor VIII / metabolism
Female
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Petrous Bone
Prothrombin Time
Retinal Artery
Risk Factors
Thrombophilia / complications*,  epidemiology
Chemical
Reg. No./Substance:
57-88-5/Cholesterol; 9001-27-8/Factor VIII

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


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